Lauren Adams, LCSW
Individual provider Active NPI Clinical Social Worker · Butternut, WI
NPI 1346862919 · NPPES record last updated May 17, 2020
Key facts
- NPI
- 1346862919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9402 (WI)
- Practice address
- 82163 Pociask Rd
Butternut, WI 54514-9187 - Phone
- (708) 846-8402
- NPI assigned
- May 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149021490 | IL | MD | Clinical Social Worker |
| 9402 | WI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149021490 | IL | |
| Clinical Social Worker | 1041C0700X | 9402 | WI | Yes |
Addresses
Primary practice location
82163 Pociask Rd
Butternut, WI 54514-9187
Mailing address
82163 Pociask Rd
Butternut, WI 54514-9187
Phone (708) 846-8402
Other providers in Butternut, WI
All providers in Butternut, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2020. 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.