| Melissa Adams Lcsw | |
|
702 W Koenig St Grand Island NE 68801-6556 | |
| (308) 381-0608 | |
| Not Available |
| Full Name | Melissa Adams Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 702 W Koenig St, Grand Island, Nebraska |
| Authorized Official Name and Position | Melissa Adams (OWNER, DIRECTOR) |
| Authorized Official Contact | 3083810608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Adams Lcsw Po Box 763 Grand Island NE 68802-0763 Ph: (308) 381-0608 | Melissa Adams Lcsw 702 W Koenig St Grand Island NE 68801-6556 Ph: (308) 381-0608 |
| NPI Number | 1215197801 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 04/07/2020 |
| Certification Date | 04/07/2020 |
| Medicare PECOS PAC ID | 0941375109 |
|---|---|
| Medicare Enrollment ID | O20080822000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215197801 | NPI | - | NPPES |
| 10025632200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1140 (Nebraska) | Primary |
| Provider Name | Melissa A Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457430498 PECOS PAC ID: 3678556586 Enrollment ID: I20040611000113 |
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