Melissa Keller Adamson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9103276-3501 Issued in UT

Practice address

1698 E 1460 N
Logan, UT 84341-2981

Phone

(435) 760-1230

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Campus Academy

  dba Juniper Haven

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Logan, UT
  • NPI 1659157410
  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1093330466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 E 1460 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412981",
            "telephone_number": "435-760-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 E 1460 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412981",
            "telephone_number": "435-760-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER ADAMSON",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9103276-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Established account with HIPPA approved platform for communication with clients",
            "address_1": "1698 E 1460 N",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843412981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Savan Kabaria
• Kasama Health & Wellness
• Simon Peter Kayiki
• Kayla Keck, CSW
• Thomas M Keele
• Kelly W Hubbard MD PC
• Ryan Kelly
• Kaitlin Kelsey, RD
• Brad Kelstrom, LCSW
• Daniel Gregory Kemp

• Clinical Social Worker in Logan, UT
• Providers in Logan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.