Naomi Adams, MSW

Individual provider Active NPI Clinical Social Worker · South Bend, IN

NPI 1184802829 · NPPES record last updated Jul 11, 2012

Key facts

NPI
1184802829
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
611 Lincolnway E
South Bend, IN 46601-3220
Phone
(574) 232-2255
Fax
(574) 232-8968
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Children'S Center of Counseling and Development Services Inc Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

611 Lincolnway E
South Bend, IN 46601-3220

Mailing address

107 N. Eddy Street
South Bend, IN 46617
Phone (574) 232-2255

Other identifiers

IdentifierTypeStateIssuer
200264420MedicaidIN

Other providers in South Bend, IN

All providers in South Bend, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.