Wellformed AI

NPI 1487744918 · live from the CMS NPI Registry

Sandra Marie Adams, PhD, CSAC, ICS

Social Worker, Clinical in New Berlin, WI. National Provider Identifier 1487744918, active.

NPI record

NPI1487744918 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location15350 W National Ave Ste 108, New Berlin, WI 53151
Practice phone262-249-6565
Mailing addressW300s10397 Lakeside Dr, Mukwonago, WI 53149
EnumeratedOctober 13, 2006
Last updatedAugust 15, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical103TC0700X5093-57 (WI)
Counselor, Addiction (Substance Use Disorder)101YA0400X2042 (WI)
Social Worker104100000X2838123 (WI)
Social Worker, Clinical primary1041C0700X2838 (WI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.