Provider Demographics
NPI:1992559371
Name:ADKINS, KAYLEA (LMSW)
Entity type:Individual
Prefix:
First Name:KAYLEA
Middle Name:
Last Name:ADKINS
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:PO BOX 1208
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-7208
Mailing Address - Country:US
Mailing Address - Phone:641-455-1396
Mailing Address - Fax:
Practice Address - Street 1:1111 N QUINCY AVE STE 137
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-3864
Practice Address - Country:US
Practice Address - Phone:641-856-2688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA112930104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker