CHARLES R ADCOCK, LCSW RICHMOND, VA

Contact Information

CHARLES R ADCOCK, LCSW

4906 RADFORD AVE
RICHMOND, VA 23230-3512

Phone: 804-354-1996
Fax: 804-354-5516
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction (Substance Use Disorder)	101YA0400X

Indicates primary specialty

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NPI Profile & details for CHARLES R ADCOCK · (Male)

NPI #	`1083740989`
Status	Active
Credentials	LCSW (Licensed Clinical Social Worker)
Entity	Individual
Enumeration date	02/26/2007
Last updated	05/29/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	VA License # 0904002513 Other 861112647 UBH VA Other 5608429 AETNA PROV # VA Other 303526 ANTHEM VA Other 145129 ANTHEM PROV # VA Other 1019476 CIGNA PROV # VA Other N06B91 EMPIRE PROV # VA Other 168467000 MAGELLAN VA Other 168467000 MAGELLAN MIS VA Other 84904 OPTIMA BEHAVIORAL HEALTH VA Other 102045 VALUE OPTION PROV #
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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CHARLES R ADCOCK, LCSW – NPI #1083740989Addiction (Substance Use Disorder)

Contact Information

Specialty

Addiction (Substance Use Disorder)

NPI Profile & details for CHARLES R ADCOCK · (Male)

Reviews for CHARLES R ADCOCK

CHARLES R ADCOCK, LCSW – NPI #1083740989
Addiction (Substance Use Disorder)