Individual provider Active NPI

Irina Adams, LCSW

  • Clinical Social Worker
  • Garden Ridge, TX
National Provider Identifier
1134510886
Registry record updated Dec 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66151 Issued in TX
Practice address
18945 FM 2252 Ste 116
Garden Ridge, TX 78266-2797
Phone
(210) 290-1602
NPI assigned
Feb 16, 2015
Last updated
Dec 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2019

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 C011024 NC
Clinical Social Worker 1041C0700X 66151 TX Primary

Addresses

Primary practice location

18945 FM 2252 Ste 116
Garden Ridge, TX 78266-2797

Mailing address

3605 Hidden Dr Apt H2
San Antonio, TX 78217-4676
Phone (210) 290-1602

Other practice location 1

7606 Culebra Vly
San Antonio, TX 78254
Phone (210) 440-2375

Other practice location 2

4881 Sugar Maple Dr
Dayton, OH 45433-5529
Phone (937) 257-6877

Other practice location 3

18945 Fm 2252 Ste 106
Garden Ridge, TX 78266-2562
Phone (210) 290-1602

Other practice location 4

18945 Fm 2252 Ste 106
Garden Ridge, TX 78266
Phone (210) 290-1602

Other practice location 5

3551 Roger Brooke Dr
Quality Services/7th Floor, ATTN: MCHE-ZQQ
JBSA Forth Sam Houston, San Antonio, TX 78234
Phone (210) 916-2338

Other practice location 6

18945 Fm 2252 Ste 116
Garden Ridge, TX 78266-2797
Phone (210) 290-1602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190513000613 TX Practitioner - Clinical Social Worker 3173866365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18945 FM
2252 Suite 116
Garden Ridge, TX 78266-2797
Phone (210) 452-3373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576972800000",
    "number": "1134510886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HIDDEN DR APT H2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174676",
            "telephone_number": "210-290-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18945 FM 2252 STE 116",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662797",
            "telephone_number": "210-290-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7606 Culebra Vly",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78254",
            "country_code": "US",
            "telephone_number": "210-440-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-6877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18945 Fm 2252 Ste 106",
            "address_purpose": "LOCATION",
            "city": "Garden Ridge",
            "state": "TX",
            "postal_code": "782662562",
            "country_code": "US",
            "telephone_number": "210-290-1602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18945 Fm 2252 Ste 106",
            "address_purpose": "LOCATION",
            "city": "Garden Ridge",
            "state": "TX",
            "postal_code": "78266",
            "country_code": "US",
            "telephone_number": "210-290-1602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_2": "Quality Services/7th Floor, ATTN: MCHE-ZQQ",
            "address_purpose": "LOCATION",
            "city": "JBSA Forth Sam Houston, San Antonio",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-916-2338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18945 Fm 2252 Ste 116",
            "address_purpose": "LOCATION",
            "city": "Garden Ridge",
            "state": "TX",
            "postal_code": "782662797",
            "country_code": "US",
            "telephone_number": "210-290-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "IRINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

Verify at the official NPI Registry.