Provider Demographics
NPI:1689547382
Name:DAVID ADAMS LCSW LLC
Entity type:Organization
Organization Name:DAVID ADAMS LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LSCSW
Authorized Official - Phone:620-399-0673
Mailing Address - Street 1:PO BOX 762
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:KS
Mailing Address - Zip Code:66770-0762
Mailing Address - Country:US
Mailing Address - Phone:620-399-6703
Mailing Address - Fax:620-371-2244
Practice Address - Street 1:3491 SE 45TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:KS
Practice Address - Zip Code:66725-2468
Practice Address - Country:US
Practice Address - Phone:620-399-6703
Practice Address - Fax:620-371-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty