Provider Demographics
NPI:1194782730
Name:ADLER, IRIS J (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:IRIS
Middle Name:J
Last Name:ADLER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:IRIS
Other - Middle Name:J
Other - Last Name:ADLER-BILLIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:142 LAKESIDE CIR
Mailing Address - Street 2:
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-5642
Mailing Address - Country:US
Mailing Address - Phone:239-997-4872
Mailing Address - Fax:
Practice Address - Street 1:142 LAKESIDE CIR
Practice Address - Street 2:
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-5642
Practice Address - Country:US
Practice Address - Phone:239-997-4872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD051971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical