Provider Demographics
NPI:1891058871
Name:ADKINSON, BRIAN CHAB (LSCSW)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:CHAB
Last Name:ADKINSON
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2536 JASU DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4537
Mailing Address - Country:US
Mailing Address - Phone:785-550-5208
Mailing Address - Fax:
Practice Address - Street 1:301 E KANSAS ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1619
Practice Address - Country:US
Practice Address - Phone:913-727-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-24
Last Update Date:2012-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS41211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical