NPI 1023649480 · live from the CMS NPI Registry
Jessica Adams, LCSW
Social Worker, Clinical in Hamden, CT. National Provider Identifier 1023649480, active.
NPI record
| NPI | 1023649480 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1 Evergreen Ave Ste 12, Hamden, CT 06518 |
| Practice phone | 203-367-0220 |
| Mailing address | 1 Jill Ln, Cheshire, CT 06410 |
| Enumerated | February 3, 2020 |
| Last updated | February 3, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 010686 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.