Basic Information
| Provider Information | |||||||||
| NPI: | 1750717740 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADLEMAN | ||||||||
| FirstName: | CLORISA | ||||||||
| MiddleName: | KIMBER | ||||||||
| NamePrefix: | |||||||||
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| Credential: | LLMSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FINKBEINER | ||||||||
| OtherFirstName: | CLORISA | ||||||||
| OtherMiddleName: | KIMBER | ||||||||
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| OtherCredential: | LLMSW | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 812 E JOLLY RD STE 210 | ||||||||
| Address2: | ATTN: DIANA SMITH | ||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489106821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173468119 | ||||||||
| FaxNumber: | 5173468291 | ||||||||
| Practice Location | |||||||||
| Address1: | 812 E JOLLY RD | ||||||||
| Address2: | SUITE 114 | ||||||||
| City: | LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 489106818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173469719 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2013 | ||||||||
| LastUpdateDate: | 02/17/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801095768 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.