Andrea Ladawn Adams, MSSW, LCSW
Individual provider Active NPI Clinical Social Worker · Evansville, IN
NPI 1376581504 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1376581504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34003322A (IN)
- Practice address
- 991 S Kenmore Dr
Evansville, IN 47714-7514 - Phone
- (812) 491-7739
- Fax
- (812) 491-8095
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
991 S Kenmore Dr
Evansville, IN 47714-7514
Phone (812) 491-7739
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20100626000434 | IN | Practitioner - Clinical Social Worker | 3375674823 | Practice locations: Evansville, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams Counseling Services LLC | Clinical | Current | Accepting new patients |
Locations
6221 Physicians Ct
#2
Evansville, IN 47715
Phone (812) 491-7739
991 S Kenmore Dr
Evansville, IN 47714
Phone (812) 491-7739
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003322A | IN | Yes |
Addresses
Primary practice location
991 S Kenmore Dr
Evansville, IN 47714-7514
Mailing address
991 S Kenmore Dr
Evansville, IN 47714-7514
Phone (812) 491-7739
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000188109 | Other | IN | ANTHEM PROVIDER NUMBER |
Other providers in Evansville, IN
- Adam J Russ OD LLC
- Jana S Adamec
- Adams Counseling Services LLC
- Adams County Memorial Hospital
- Adams County Memorial Hospital
- Danielle Adams
- Evelyn Pearl Adams
- Herbert Dan Adams
- Kathryn E Adams
- Phillip M Adams
All providers in Evansville, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. 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.