Organization Active NPI

Barbara Adamich, Licensed Clinical Social Worker, Inc

Doing business as Red Crane Psychotherapy Group

  • Clinical Social Worker
  • Mill Valley, CA
National Provider Identifier
1215717780
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BARBARA ADAMICH, LICENSED CLINICAL SOCIAL WORKER, INC
Doing business as
Red Crane Psychotherapy Group
Practice address
6 Knoll LN Ste D
Mill Valley, CA 94941-2369
Phone
(415) 673-3566
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Adamich, LCSWNPI 1326194697
Title
Owner
Phone
(415) 673-3566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6 Knoll LN Ste D
Mill Valley, CA 94941-2369

Mailing address

1005 Northgate Dr # 319
San Rafael, CA 94903-2500

Other names 1

  • Red Crane Psychotherapy Group Doing business as

National Provider Directory

National Provider Directory

Locations

6 Knoll Ln
Ste D
Mill Valley, CA 94941
Phone (415) 673-3566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1215717780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NORTHGATE DR # 319",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KNOLL LN STE D",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412369",
            "telephone_number": "415-673-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA ADAMICH, LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "ADAMICH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-673-3566",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Crane Psychotherapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.