Individual provider Active NPI

Christin Nichole Adams, LMSW

  • Clinical Social Worker
  • Saint Joseph, MI
National Provider Identifier
1275968018
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093742 Issued in MI
Practice address
1101 Broad St Ste 165
Saint Joseph, MI 49085-1790
Phone
(269) 759-9732
NPI assigned
Sep 12, 2013
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801093742 MI Primary

Addresses

Primary practice location

1101 Broad St Ste 165
Saint Joseph, MI 49085-1790

Mailing address

717 Saint Joseph Dr Ste 156
Saint Joseph, MI 49085-2428
Phone (269) 759-9732

Other names 1

  • Christin Adams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211000778 MI Practitioner - Clinical Social Worker 7517196702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices Single Specialty CurrentSince Nov 30, 2019 Accepting new patients
Lakeland Medical Practices CurrentSince Nov 30, 2019 Accepting new patients
On Pointe Counsel, PLLC Clinical Current Accepting new patients

Locations

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

717 Saint Joseph Dr
Saint Joseph, MI 49085
Phone (269) 369-2347

5515 Cleveland Ave
Stevensville, MI 49127
Phone (269) 429-9644

5515 Cleveland Ave
Ste 5
Stevensville, MI 49127
Phone (269) 429-9644

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.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1275968018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SAINT JOSEPH DR STE 156",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852428",
            "telephone_number": "269-759-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROAD ST STE 165",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851790",
            "telephone_number": "269-759-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CHRISTIN",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIN",
            "last_name": "ADAMS",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.