NPI 1912401464 · live from the CMS NPI Registry
Jordan Adams, LCSW & LCDC
Social Worker, Clinical in Round Rock, TX. National Provider Identifier 1912401464, active.
NPI record
| NPI | 1912401464 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1009 N Georgetown St, Round Rock, TX 78664 |
| Practice phone | 512-255-1720 |
| Enumerated | March 20, 2018 |
| Last updated | October 19, 2020 |
| Sole proprietor | Yes |
| Other names | Jordan Ferrer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 61362 (TX) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 14302 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.