Provider Demographics
NPI:1740338110
Name:WEST, ADAM REDD (PHD, CSW)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:REDD
Last Name:WEST
Suffix:
Gender:M
Credentials:PHD, CSW
Other - Prefix:
Other - First Name:ADAM
Other - Middle Name:R
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSW
Mailing Address - Street 1:1625 PLUM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-0745
Mailing Address - Country:US
Mailing Address - Phone:270-238-5139
Mailing Address - Fax:
Practice Address - Street 1:700 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2218
Practice Address - Country:US
Practice Address - Phone:270-904-0055
Practice Address - Fax:270-904-5110
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX396741041C0700X
KY2576841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical