NPI 1720473283 · live from the CMS NPI Registry
Crystal Adams, MSW, LCSW
Social Worker, Clinical in Jacksonville, FL. National Provider Identifier 1720473283, active.
NPI record
| NPI | 1720473283 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 15255 Max Leggett Pkwy, Jacksonville, FL 32218 |
| Practice phone | 904-383-1015 |
| Mailing address | 11778 Alexandra Dr, Jacksonville, FL 32218 |
| Enumerated | April 1, 2015 |
| Last updated | February 10, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | ISW 9468 (FL) |
| Social Worker, Clinical primary | 1041C0700X | SW16170 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.