Adams, Sandra Marie

Adams, Sandra Marie is an individual health care provider with primary practice located at 16535 W Bluemound Rd , Brookfield WI 53005-5936. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Adams, Sandra Marie can be contacted via phone (262) 542-3255.

Contact Information

Primary practice address
16535 W Bluemound Rd Brookfield WI 53005-5936
Phone: (262) 542-3255
Fax: (262) 821-6180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2042 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 2838123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2838 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5093-57 Wisconsin

Profile Details

NPI number 1487744918
LBN Legal business name Adams, Sandra Marie
Credentials PHD, CSAC, ICS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 25th, 2023 - about last year

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 1487744918 NPPES
Wisconsin MEDICAID 39681200

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