NPI 1083005748 · live from the CMS NPI Registry
Ellany Christina Adams, LCSW
Social Worker, Clinical in Salem, OR. National Provider Identifier 1083005748, active.
NPI record
| NPI | 1083005748 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2400 Lancaster Dr Ne, Salem, OR 97305 |
| Practice phone | 503-361-5400 |
| Enumerated | February 16, 2015 |
| Last updated | February 16, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | L6430 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.