NPI 1790287159 · live from the CMS NPI Registry
Kenneth Alexander Adair, LCSW
Social Worker, Clinical in Watertown, CT. National Provider Identifier 1790287159, active.
NPI record
| NPI | 1790287159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 37 Rockdale Ave, Watertown, CT 06779 |
| Practice phone | 203-312-7048 |
| Enumerated | March 1, 2018 |
| Last updated | September 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 10952 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.