NPI 1013636166 · live from the CMS NPI Registry
Destiny M Adams, LCSW
Social Worker, Clinical in Bentonville, AR. National Provider Identifier 1013636166, active.
NPI record
| NPI | 1013636166 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1400 Ne Mcclain Rd Ste 2, Bentonville, AR 72712 |
| Practice phone | 479-657-6636 |
| Enumerated | August 23, 2022 |
| Last updated | September 25, 2026 |
| Sole proprietor | Yes |
| Other names | Destiney Adams |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | — |
| Social Worker, Clinical primary | 1041C0700X | 10343-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.