Active NPI
Byron Adams
- School Social Worker
- Beltsville, MD
National Provider Identifier
1104357094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 18182
- Practice address
- 12050 Baltimore Avenue
Beltsville, MD 20705 - Phone
- (240) 538-7004
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LG101980 | DC | |
| School Social Worker | 1041S0200X | 18182 | MD | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT000088 | DC |
Addresses
Primary practice location
12050 Baltimore Avenue
Beltsville, MD 20705
Mailing address
7702 Jaywick Ave
Fort Washington, MD 20744-2147
Phone (240) 538-7004
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT000088 | Other | DC | LICENSE MARRIAGE AND FAMILY THERAPY |
| LG101980 | Other | DC | DC SOCIAL WORK LICENSE |
| 18182 | Other | MD | SOCIAL WORK LICENSE |
| 9173 | Other | MD | MARYLAND EDUCATOR CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG101980 | DC | MD | School Social Worker |
| 18182 | MD | MD | School Social Worker |
| LMFT000088 | DC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1104357094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 JAYWICK AVE",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207442147",
"telephone_number": "240-538-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12050 BALTIMORE AVENUE",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "20705",
"telephone_number": "240-538-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BYRON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "DC",
"license": "LG101980",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MD",
"license": "18182",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "DC",
"license": "LMFT000088",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE MARRIAGE AND FAMILY THERAPY",
"identifier": "LMFT000088",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC SOCIAL WORK LICENSE",
"identifier": "LG101980",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "18182",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND EDUCATOR CERTIFICATE",
"identifier": "9173",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.