Portia Adams, LCSW-A

Individual provider Active NPI Clinical Social Worker · Jacksonville, NC

NPI 1013476308 · NPPES record last updated Mar 15, 2019

Key facts

NPI
1013476308
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
110 Branchwood Dr Ste B
Jacksonville, NC 28546-5919
Phone
(910) 938-9833
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients
Pride in North Carolina, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

110 Branchwood Dr Ste B
Jacksonville, NC 28546-5919

Mailing address

110 Branchwood Dr Ste B
Jacksonville, NC 28546-5919

Other providers in Jacksonville, NC

All providers in Jacksonville, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.