NPI 1174644256 · live from the CMS NPI Registry
Shahla R Adam, LCSW-C
Social Worker, Clinical in Baltimore, MD. National Provider Identifier 1174644256, active.
NPI record
| NPI | 1174644256 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 707 N Broadway, Baltimore, MD 21205 |
| Practice phone | 443-923-1886 |
| Mailing address | 2931 E Biddle St, Baltimore, MD 21213 |
| Enumerated | April 3, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 10357 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.