Individual provider Active NPI

Zachary Adams, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1093423287
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15376 Issued in SC
Practice address
2094 Woodruff Rd
Greenville, SC 29607-5939
Phone
(803) 261-1123
Fax
(864) 676-9432
NPI assigned
Nov 7, 2022
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15376 SC Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

2094 Woodruff Rd
Greenville, SC 29607-5939

Mailing address

2902 Old Easley Bridge Rd
Greenville, SC 29611-5227

Other practice location 1

301 Halton Rd Ste J
Greenville, SC 29607-3498
Phone (864) 660-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20230422000230 SC Practitioner - Clinical Social Worker 5991160111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Psychiatric Service PAGroup PAC ID 1355245440, 12 clinicians

Practice addresses (Care Compare)

2094 Woodruff Rd
Greenville, SC 29607-5939
Phone (864) 676-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15376SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Psychiatric Service PA CurrentSince Mar 27, 2023 Accepting new patients

Locations

2094 Woodruff Rd
Greenville, SC 29607
Phone (864) 676-9211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1093423287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 OLD EASLEY BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "803-261-1123",
            "fax_number": "864-676-9432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Halton Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073498",
            "country_code": "US",
            "telephone_number": "864-660-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ZACHARY",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15376",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.