NPI 1710057112 · live from the CMS NPI Registry
Marjorie Adis, LCSW
Social Worker, Clinical in Merion Station, PA. National Provider Identifier 1710057112, active.
NPI record
| NPI | 1710057112 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 510 Revere Rd, Merion Station, PA 19066 |
| Practice phone | 610-664-1204 |
| Enumerated | November 9, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | CW002682L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.