NPI 1447618673 · live from the CMS NPI Registry
Douglas Adams
Social Worker, Clinical in Wausau, WI. National Provider Identifier 1447618673, active.
NPI record
| NPI | 1447618673 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1504 Tulip Ln, Wausau, WI 54401 |
| Practice phone | 715-574-3353 |
| Enumerated | February 2, 2016 |
| Last updated | February 2, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 1585-123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.