NPI 1679859292 · live from the CMS NPI Registry
Jacqueline Jade Adair, LCSW, LCDC
Social Worker, Clinical in Austin, TX. National Provider Identifier 1679859292, active.
NPI record
| NPI | 1679859292 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 8700 Menchaca Rd Ste 306, Austin, TX 78748 |
| Practice phone | 512-766-6013 |
| Mailing address | 9201 Brodie Ln, Unit 1703, Austin, TX 78748 |
| Enumerated | October 27, 2011 |
| Last updated | April 28, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 11996 (TX) |
| Social Worker, Clinical primary | 1041C0700X | 55749 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.