Adams, Ellen

Adams, Ellen is an sole proprietor health care provider with primary practice located at 18125 W Catawba Ave , Cornelius NC 28031-5641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adams, Ellen can be contacted via phone (980) 875-8332.

Contact Information

Primary practice address
18125 W Catawba Ave Cornelius NC 28031-5641
Fax: (866) 321-7379
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007087 North Carolina

Profile Details

NPI number 1942505979
LBN Legal business name Adams, Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2011
Last updated Feb 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942505979 NPPES
North Carolina Other Q389480281 MEDICARE PTAN
North Carolina MEDICAID 6007773 MEDICARE PTAN

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