Active NPI
Wendy Adams, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1194993584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17438
- Practice address
- 1821 University Ave W
Suite N 464
Saint Paul, MN 55104-2801 - Phone
- (651) 659-2900
- Fax
- (651) 645-7307
- NPI assigned
- Feb 19, 2008
- Last updated
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17438 | MN | Primary |
Addresses
Primary practice location
1821 University Ave W
Suite N 464
Saint Paul, MN 55104-2801
Mailing address
1821 University Ave W
Suite N 464
Saint Paul, MN 55104-2801
Phone (651) 659-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17438 | Other | MN | LICSW NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Recovery Inc | Clinical | Past | Accepting new patients |
| Psychiatric Recovery PA | Past | Accepting new patients | |
| Mental Health Resources, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Case Management Agency
- Minneapolis, MN
- NPI 1982882106
-
- Adolescent and Children Mental Health Clinic/Center
- Saint Paul, MN
- NPI 1891713681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1194993584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 UNIVERSITY AVE W",
"address_2": "SUITE N 464",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042801",
"telephone_number": "651-659-2900",
"fax_number": "651-645-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 UNIVERSITY AVE W",
"address_2": "SUITE N 464",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042801",
"telephone_number": "651-659-2900",
"fax_number": "651-645-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "WENDY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "17438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW NUMBER",
"identifier": "17438",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.