NPI 1154781508 · live from the CMS NPI Registry
Carol Adams, LCSW
Social Worker, Clinical in Medford, OR. National Provider Identifier 1154781508, active.
NPI record
| NPI | 1154781508 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1011 La Loma Dr, Medford, OR 97504 |
| Practice phone | 541-779-1766 |
| Mailing address | 931 Chevy Way, Medford, OR 97504 |
| Enumerated | February 27, 2016 |
| Last updated | August 28, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | L3199 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.