1992471098 NPI number — TANIA KRISTY ADAMS LICSW, MSW, M.ED.

Table of content: TANIA KRISTY ADAMS LICSW, MSW, M.ED. (NPI 1992471098)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992471098 NPI number — TANIA KRISTY ADAMS LICSW, MSW, M.ED.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADAMS
Provider First Name:
TANIA
Provider Middle Name:
KRISTY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LICSW, MSW, M.ED.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZIMMER
Provider Other First Name:
TANIA
Provider Other Middle Name:
ADAMS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW, MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1992471098
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 N STADIUM WAY APT 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TACOMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98403-3153
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-256-3450
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 N STADIUM WAY APT 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98403-3153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-256-3450
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/18/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LW61200591 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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