Provider Demographics
NPI:1770716532
Name:WHITLOW, ADRIA CHANELL (MSW, LCSW-S)
Entity type:Individual
Prefix:
First Name:ADRIA
Middle Name:CHANELL
Last Name:WHITLOW
Suffix:
Gender:F
Credentials:MSW, LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 LOUISVILLE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1202
Mailing Address - Country:US
Mailing Address - Phone:270-495-1222
Mailing Address - Fax:859-209-6504
Practice Address - Street 1:1990 LOUISVILLE RD STE 107
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1202
Practice Address - Country:US
Practice Address - Phone:270-495-1222
Practice Address - Fax:859-209-6504
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2523951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical