CHARLES R ADCOCK LCSW NPI 1083740989

NPI Information

NPI: 1083740989
Provider Name: CHARLES R ADCOCK, LCSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
4906 RADFORD AVE
RICHMOND, VA
ZIP 23230
Phone: (804) 354-1996
Get Directions

Charles R Adcock, LCSW is an addiction (substance use disorder) counselor in Richmond, VA. Charles R Adcock, LCSW NPI is 1083740989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4906 RADFORD AVE
RICHMOND, VA
ZIP 23230-512
Phone: (804) 354-1996
Fax: (804) 354-5516

The NPI 1083740989 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 5/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0904002513	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	145129	OTHER	VIRGINIA	ANTHEM PROV #
2	303526	OTHER	VIRGINIA	ANTHEM
3	84904	OTHER	VIRGINIA	OPTIMA BEHAVIORAL HEALTH
4	1019476	OTHER	VIRGINIA	CIGNA PROV #
5	102045	OTHER	VIRGINIA	VALUE OPTION PROV #
6	861112647	OTHER		UBH
7	168467000	OTHER	VIRGINIA	MAGELLAN
8	168467000	OTHER	VIRGINIA	MAGELLAN MIS
9	N06B91	OTHER	VIRGINIA	EMPIRE PROV #
10	5608429	OTHER	VIRGINIA	AETNA PROV #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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