Provider Demographics
NPI:1598284432
Name:ADKINS, KENEATHIA (LMSW-C)
Entity type:Individual
Prefix:
First Name:KENEATHIA
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LMSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32860 MECOSTA ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-4741
Mailing Address - Country:US
Mailing Address - Phone:502-533-4698
Mailing Address - Fax:
Practice Address - Street 1:32860 MECOSTA ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4741
Practice Address - Country:US
Practice Address - Phone:502-533-4698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801118776104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker