Shannon Adamcik, LMSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LMSW35045 Issued in ID

Practice address

3076 N Five Mile Rd
Boise, ID 83713-5215

Phone

(208) 376-4999

Fax

(208) 376-4988

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1316489289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135215",
            "telephone_number": "208-376-4999",
            "fax_number": "208-376-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135215",
            "telephone_number": "208-376-4999",
            "fax_number": "208-376-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMCIK",
        "first_name": "SHANNON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LMSW35045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Darren Adams, LCPC
• Elizabeth Delaine Adams, IS, BA

• All providers in Boise, ID
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.