Individual provider · NPI-1

Syreeta Diane Adams, LCSW

Social Worker, Clinical · Indianapolis, IN

NPI number1174124002
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1174124002
Entity type
Individual (NPI-1)
Name
Syreeta Diane Adams
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 6, 2020
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical34009018AINYes

Practice location

1481 W 10th St
Indianapolis, IN 46202-2803

Phone 317-964-9842

Mailing address

1481 W 10th St
Indianapolis, IN 46202-2803

Phone 317-964-9842

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