Provider Demographics
NPI:1144014713
Name:KROLOFF, ADAM SETH
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:SETH
Last Name:KROLOFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 GEORGE WASHINGTON HWY UNIT 102
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4267
Mailing Address - Country:US
Mailing Address - Phone:401-475-9979
Mailing Address - Fax:
Practice Address - Street 1:652 GEORGE WASHINGTON HWY UNIT 102
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4267
Practice Address - Country:US
Practice Address - Phone:401-475-9979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW044191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical