NPI 1609164086 · live from the CMS NPI Registry
Kristen Adams, LCSW
Social Worker, Clinical in Georgetown, TX. National Provider Identifier 1609164086, active.
NPI record
| NPI | 1609164086 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4230 Williams Dr, Georgetown, TX 78628 |
| Practice phone | 737-808-4888 |
| Mailing address | 4230 Williams Dr Unit 2, Georgetown, TX 78628 |
| Enumerated | July 19, 2011 |
| Last updated | March 3, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 27018 (CA) |
| Social Worker, Clinical primary | 1041C0700X | 61513 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.