National Provider Identifier

Adam James Scholl, LCSW

Adam James Scholl, LCSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 342-4403.

NPI 1871042416Ithaca, NYMental Health Counselor

Profile Overview

NPI
1871042416
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 23, 2016
Last Updated
July 26, 2023

Practice Location

  • 318 N Aurora St
  • Ithaca, NY 14850-4274

Phone: (607) 342-4403

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1871042416
Entity Type
Individual
Last Name
Scholl
First Name
Adam
Middle Name
James
Credential
LCSW
Mailing Street Address
318 N Aurora St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-4274
Mailing Country
US
Mailing Phone
(607) 342-4403
Practice Street Address
318 N Aurora St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4274
Practice Country
US
Practice Phone
(607) 342-4403
Practice Fax
(607) 391-0162
Enumeration Date
September 23, 2016
Last Updated
July 26, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
July 26, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)