NPI 1184764474 · live from the CMS NPI Registry
Jyl E Adams, LCSW
Social Worker, Clinical in Eagle, ID. National Provider Identifier 1184764474, active.
NPI record
| NPI | 1184764474 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 596 W Oakhampton Dr, Eagle, ID 83616 |
| Practice phone | 208-321-4166 |
| Enumerated | February 7, 2007 |
| Last updated | December 13, 2024 |
| Sole proprietor | Yes |
| Other names | Jyl Adams |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LCSW 28551 (ID) |
| Social Worker, Clinical | 1041C0700X | 11376-C (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.