Active NPI
Jyl E Adams, LCSW
- Clinical Social Worker
- Eagle, ID
National Provider Identifier
1184764474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 28551
- Practice address
- 596 W Oakhampton Dr
Eagle, ID 83616-6741 - Phone
- (208) 321-4166
- Fax
- (208) 321-4167
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 28551 | ID | Primary |
| Clinical Social Worker | 1041C0700X | 11376-C | NV |
Addresses
Primary practice location
596 W Oakhampton Dr
Eagle, ID 83616-6741
Mailing address
596 W Oakhampton Dr
Eagle, ID 83616-6741
Phone (208) 484-3359
Other names 1
- Mrs. Jyl E Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090812000952 | ID | Practitioner - Clinical Social Worker | 3173676400 | Reassigns benefits to 1 organization |
| I20250708003517 | NV | Practitioner - Clinical Social Worker | 3173676400 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mental Health Specialty Group PA
Practice addresses (Care Compare)
203 S Water St
Suite 206
Henderson, NV 89015-7226
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 28551 | ID | MD | Clinical Social Worker |
| 11376-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007
203 S Water St
Ste 206
Henderson, NV 89015
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1184764474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 W OAKHAMPTON DR",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166741",
"telephone_number": "208-484-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 W OAKHAMPTON DR",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166741",
"telephone_number": "208-321-4166",
"fax_number": "208-321-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JYL",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2024-12-13",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW 28551",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "11376-C",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JYL",
"last_name": "ADAMS",
"middle_name": "E",
"prefix": "MRS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.