Provider Demographics
NPI:1447912662
Name:ADAMS, MICHELLE (MSW)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ADAMS
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 1:42 LORRAINE DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICA
Mailing Address - State:DE
Mailing Address - Zip Code:19946-2911
Mailing Address - Country:US
Mailing Address - Phone:302-535-7551
Mailing Address - Fax:
Practice Address - Street 1:42 LORRAINE DR
Practice Address - Street 2:
Practice Address - City:FREDERICA
Practice Address - State:DE
Practice Address - Zip Code:19946-2911
Practice Address - Country:US
Practice Address - Phone:302-535-7551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker