Adcock, Charles R

Adcock, Charles R is an individual health care provider with primary practice located at 4906 Radford Ave , Richmond VA 23230-3512. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Adcock, Charles R can be contacted via phone (804) 354-1996.

Contact Information

Primary practice address
4906 Radford Ave Richmond VA 23230-3512
Phone: (804) 354-1996
Fax: (804) 354-5516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0904002513 Virginia

Profile Details

NPI number 1083740989
LBN Legal business name Adcock, Charles R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated May 29th, 2008 - about 17 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 1083740989 NPPES
Virginia Other 168467000 MAGELLAN MIS
Virginia Other 303526 MAGELLAN MIS
Virginia Other 168467000 MAGELLAN MIS
Virginia Other 84904 MAGELLAN MIS
Virginia Other 861112647 MAGELLAN MIS
Virginia Other 145129 MAGELLAN MIS
Virginia Other N06B91 MAGELLAN MIS
Virginia Other 5608429 MAGELLAN MIS
Virginia Other 102045 MAGELLAN MIS
Virginia Other 1019476 MAGELLAN MIS

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