Provider Demographics
NPI:1104922335
Name:ADAMS, ELIZABETH M (SOCIAL WORKER, CLINI)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:SOCIAL WORKER, CLINI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:492 BUTTONBUSH LANE
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293
Mailing Address - Country:US
Mailing Address - Phone:941-441-5137
Mailing Address - Fax:305-453-5144
Practice Address - Street 1:492 BUTTONBUSH LANE
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293
Practice Address - Country:US
Practice Address - Phone:941-441-5137
Practice Address - Fax:305-453-5144
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW50891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical