Michael R Adams, ACSW
Individual provider Active NPI Clinical Social Worker · Las Vegas, NV
NPI 1164629044 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164629044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4552-C (NV)
- Practice address
- 9811 W Charleston Blvd Ste 2626
Las Vegas, NV 89117-7528 - Phone
- (702) 228-8520
- Fax
- (702) 448-7205
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thrive Solutions LLC
Practice addresses (Care Compare)
5584 S Fort Apache Rd
Las Vegas, NV 89148-7657
Phone (702) 296-1222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210330001747 | NV | Practitioner - Clinical Social Worker | 0547470338 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4552-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Residential Services LLC | Current |
Accepting new patients | |
| Thrive Solutions LLC | Current |
Accepting new patients |
Locations
1120 Shadow Ln
Las Vegas, NV 89102
Phone (702) 499-2239
5584 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 296-1222
2121 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 382-7746
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4552-C | NV | Yes |
Addresses
Primary practice location
9811 W Charleston Blvd Ste 2626
Las Vegas, NV 89117-7528
Mailing address
9811 W Charleston Blvd Ste 2626
Las Vegas, NV 89117-7528
Phone (702) 228-8520
Other providers in Las Vegas, NV
- Mark Adams
- Melisha Adams
- Melissa Kelly Adams
- Michael Adams
- Michael Leonard Adams II
- Michelle Adams
- Miles Gregory Adams
- Misty Lynn Adams
- Moses Adams
- Nancy Adams
All providers in Las Vegas, NV · Clinical Social Worker in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.