NPI 1992612139 · live from the CMS NPI Registry
Camryn Chase Adams, APSW, SAC-IT
Social Worker, Clinical in Kenosha, WI. National Provider Identifier 1992612139, active.
NPI record
| NPI | 1992612139 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 |
| Practice phone | 262-654-8366 |
| Enumerated | August 25, 2026 |
| Last updated | August 25, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 20589-130 (WI) |
| Social Worker, Clinical primary | 1041C0700X | 136349-121 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.