Provider Demographics
NPI:1225914344
Name:ADKINS, ANDREW (LSW)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:ADKINS
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 W DIVERSEY AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1126
Mailing Address - Country:US
Mailing Address - Phone:224-330-7474
Mailing Address - Fax:
Practice Address - Street 1:4800 N MILWAUKEE AVE STE 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2156
Practice Address - Country:US
Practice Address - Phone:773-809-4920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.117239104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker