Patrick Price Adams, LCSW SUDC

Individual provider Active NPI Clinical Social Worker · Millcreek, UT

NPI 1093051963 · NPPES record last updated Aug 31, 2020

Key facts

NPI: 1093051963
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 4942012-3501 (UT)
Practice address: 2870 E 3300 S
Millcreek, UT 84109-2821
Phone: (801) 500-3300
NPI assigned: Dec 21, 2012
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Path Behavioral Health Adolescent and Children Mental Health Clinic/Center · Salt Lake City, UT · NPI 1902691389

NPD

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
4942012-3501	UT	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Path Behavioral Health		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	4942012-3501	UT	Yes

Addresses

Primary practice location

2870 E 3300 S
Millcreek, UT 84109-2821

Mailing address

2870 E 3300 S
Millcreek, UT 84109-2821
Phone (801) 500-3300

Other providers in Millcreek, UT

All providers in Millcreek, UT · Clinical Social Worker in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.