Provider Demographics
NPI:1063186526
Name:ADAMSON, VICKIE (LMSW)
Entity type:Individual
Prefix:
First Name:VICKIE
Middle Name:
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 BECKET CT
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-8708
Mailing Address - Country:US
Mailing Address - Phone:949-302-4881
Mailing Address - Fax:
Practice Address - Street 1:105 W WALL ST
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-2355
Practice Address - Country:US
Practice Address - Phone:816-974-7378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016042821104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker