Spires-Adams, Randiesa

Spires-Adams, Randiesa is an sole proprietor health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. She recently has 2 registered licenses in different health care specialties including 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. Spires-Adams, Randiesa can be contacted via phone (919) 350-7722.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Fax: (919) 350-2995
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ISW 3934 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X C013670 North Carolina

Profile Details

NPI number 1144490582
LBN Legal business name Spires-Adams, Randiesa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2008
Last updated Mar 2nd, 2021 - about 3 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 1144490582 NPPES
North Carolina MEDICAID 1144490582

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