Active NPI
Cynthia Marie Adam, L.I.S.W.-S
- Clinical Social Worker
- Wooster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1500485
- Practice address
- 2000 Noble Dr
Wooster, OH 44691-5353 - Phone
- (330) 264-3232
- NPI assigned
- Mar 8, 2010
- Last updated
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0901385 | OH | |
| Clinical Social Worker | 1041C0700X | I.1500485 | OH | Primary |
Addresses
Primary practice location
2000 Noble Dr
Wooster, OH 44691-5353
Mailing address
2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232
Other practice location 1
1776 E Broad St
Columbus, OH 43203-1787
Phone (614) 253-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0901385 | OH | MD | Social Worker |
| I.1500485 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Network | Current | Accepting new patients | |
| Village Network | Current | Accepting new patients |
Locations
1751 E Long St
Columbus, OH 43203
Phone (614) 253-8050
1776 E Broad St
Columbus, OH 43203
Phone (614) 253-8050
2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492
3011 Akron Rd
Wooster, OH 44691
Phone (330) 202-3809
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1386967172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232"
}
],
"practiceLocations": [
{
"address_1": "1776 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432031787",
"country_code": "US",
"telephone_number": "614-253-8050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAM",
"first_name": "CYNTHIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "L.I.S.W.-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0901385",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1500485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.