NPI 1255109476 · live from the CMS NPI Registry
Rebecca C Adams, LMSW
Social Worker, Clinical in Tyler, TX. National Provider Identifier 1255109476, active.
NPI record
| NPI | 1255109476 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5855 Deauville St, Tyler, TX 75704 |
| Practice phone | 928-208-9099 |
| Enumerated | December 18, 2023 |
| Last updated | February 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 107979 (TX) |
| Social Worker, Clinical primary | 1041C0700X | 107979 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.