Kristin Adams, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Magna, UT
NPI 1275970543 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1275970543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8325681-3502 (UT)
- Practice address
- 8265 W 2700 S
Magna, UT 84044-1323 - Phone
- (435) 260-2867
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Utah School of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
450 W Williams Way
Moab, UT 84532-2185
715 Horizon Dr
Grand Junction, CO 81506-8700
Hospital & facility affiliations
- Moab Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251016004494 | UT | Practitioner - Clinical Social Worker | 7214424753 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8325681-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moab Valley Healthcare, Inc | Current |
Accepting new patients | |
| Moab Valley Healthcare, Inc. | Current |
Accepting new patients | |
| Moab Valley Healthcare, Inc. | Current |
Accepting new patients |
Locations
450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191
476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8325681-3502 | UT | Yes |
Addresses
Primary practice location
8265 W 2700 S
Magna, UT 84044-1323
Mailing address
8265 W 2700 S
Magna, UT 84044-1323
Phone (435) 260-2867
Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.