Julie Ann Adams, LCSW
Individual provider Active NPI Clinical Social Worker · Fort Campbell, KY
NPI 1497968705 · NPPES record last updated Jul 19, 2018
Key facts
- NPI
- 1497968705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 650 Joel Drive
Fort Campbell, KY 42223 - Phone
- (270) 412-3247
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20100429000388 | TN | Practitioner - Clinical Social Worker | 7517094212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088020 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801088020 | MI | |
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
650 Joel Drive
Fort Campbell, KY 42223
Mailing address
2867 Carriage Way
Clarksville, TN 37043
Phone (931) 436-5928
Other providers in Fort Campbell, KY
- Ach Blanchfield-Ft Campbell
- Ach Blanchfield-Ft Campbell
- Cordilia Acree
- Darlene M Adams
- Elizabeth Elaine Adams
- Stephanie Ivonne Adams
- Thomasine Adams
- Amanda Marie Adamson
- Leanna Lynn Adkins-Stiltner
- Joseph Hiram Afanador
All providers in Fort Campbell, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.