Active NPI
Jeneva D. Adams, MS
- Clinical Social Worker
- South Bend, IN
National Provider Identifier
1528213675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 611 Lincoln Way E
South Bend, IN 46601-3220 - Phone
- (574) 232-2255
- Fax
- (574) 232-8968
- NPI assigned
- Nov 17, 2008
- 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 | Primary |
Addresses
Primary practice location
611 Lincoln Way E
South Bend, IN 46601-3220
Mailing address
611 Lincoln Way E
South Bend, IN 46601-3220
Phone (574) 232-2255
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1528213675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 LINCOLN WAY E",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466013220",
"telephone_number": "574-232-2255",
"fax_number": "574-232-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 LINCOLN WAY E",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466013220",
"telephone_number": "574-232-2255",
"fax_number": "574-232-8968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JENEVA",
"middle_name": "D.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.