Active NPI
Eileen T Adams, LMSW
- Clinical Social Worker
- Prescott, AZ
National Provider Identifier
1447529607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-12189
- Practice address
- 500 N US Highway 89
Prescott, AZ 86313-5001 - Phone
- (928) 445-4860
- NPI assigned
- Dec 17, 2011
- Last updated
- Dec 17, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-12189 | AZ | Primary |
Addresses
Primary practice location
500 N US Highway 89
Prescott, AZ 86313-5001
Mailing address
500 N US Highway 89
Prescott, AZ 86313-5001
Phone (928) 445-4860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-12189 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324080000000",
"number": "1447529607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N US HIGHWAY 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863135001",
"telephone_number": "928-445-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N US HIGHWAY 89",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863135001",
"telephone_number": "928-445-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "EILEEN",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-17",
"last_updated": "2011-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW-12189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Joseph R Abt, DMD
- Angelita Acosta-del Rio, LDO
- Lois Karleen Acosta, IBCLC
- Active Life Physical Therapy Inc
- Deborah Anne Adams-Courtland
- Richard Mark Adler, MS, CCC-SLP
- Adult Residential Care Services, Inc. (The Margaret T. Morris Center)
- Adult Residential Care Services, Inc. (The Margaret T. Morris Center)
- Advanced Anesthesia Group, LLC
- Advanced Cardiac Specialists, Chartered
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.