Jennifer M Adams, LCSW
Individual provider Active NPI Clinical Social Worker · Hoffman Estates, IL
NPI 1326345802 · NPPES record last updated Apr 12, 2017
Key facts
- NPI
- 1326345802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149012771 (IL)
- Practice address
- 1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-5029 - Phone
- (847) 755-8090
- Fax
- (847) 843-7393
- NPI assigned
- Feb 18, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149012771 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149012771 | IL | Yes |
Addresses
Primary practice location
1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-5029
Mailing address
1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-5029
Phone (847) 755-8090
NPI Registry JSON
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1326345802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 MOON LAKE BLVD",
"address_2": "SUITE 104",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601695029",
"telephone_number": "847-755-8090",
"fax_number": "847-843-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 MOON LAKE BLVD",
"address_2": "SUITE 104",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601695029",
"telephone_number": "847-755-8090",
"fax_number": "847-843-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149012771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
- Constantin Abuzatoaie
- Access Health Care, Inc.
- Access Lab Inc
- Jeanette Tourtelot Ackland
- Elizabeth Acuna
- Jacob Addington
- Steven T. Adelstein
- Aderemi Adeniran
- Advance Medicine LLC
- Advance Midwest Medical SC
All providers in Hoffman Estates, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.