Allen Russell Adams, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088547 Issued in MI

Practice address

17352 W 12 Mile Rd
Suite 100
Southfield, MI 48076-2119

Phone

(248) 559-0730

Fax

(248) 569-7626

NPI assigned

May 30, 2008

Last updated

May 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Love Center LLCGroup PAC ID 4880175439, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Love Center LLC

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1942150941
  Medicare reassignment Care Compare group NPD
• Doreen & Al's Chore Services LLC

  • Chore Provider
  • Detroit, MI
  • NPI 1982582326
  NPD Authorized official
• Adams Behavioral & Psychological Services PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1114317476
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1013175587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18876 SAINT AUBIN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341221",
            "telephone_number": "313-402-7779",
            "fax_number": "248-569-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17352 W 12 MILE RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762119",
            "telephone_number": "248-559-0730",
            "fax_number": "248-569-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ALLEN",
        "middle_name": "RUSSELL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "6801088547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adams and Associates Counseling Service
• Adams Behavioral & Psychological Services PC
• Hope-Zenobia Adams Smith
• Currine Adams-Terry
• Alesia Lynn Adams
• Angela Ida Morgan Adams
• Brittany R Adams, O.D.
• Chloe Paige Adams
• Daniyah Imani Adams
• David Ronald Adams Jr., LPC

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.