Provider Demographics
NPI:1447434063
Name:ADAIR, NANCY C (MSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:C
Last Name:ADAIR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 W 11 MILE RD
Mailing Address - Street 2:STE C
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-5403
Mailing Address - Country:US
Mailing Address - Phone:248-321-8846
Mailing Address - Fax:
Practice Address - Street 1:1026 W 11 MILE RD
Practice Address - Street 2:STE C
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-5403
Practice Address - Country:US
Practice Address - Phone:248-321-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010130981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical