NPI 1760039085 · live from the CMS NPI Registry
Stacey L Adams
Social Worker in Mount Pleasant, WI. National Provider Identifier 1760039085, active.
NPI record
| NPI | 1760039085 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 4810 Northwestern Ave, Mount Pleasant, WI 53406 |
| Practice phone | 262-583-2714 |
| Mailing address | 2435 20th St, Racine, WI 53403 |
| Enumerated | August 21, 2019 |
| Last updated | August 21, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.