Individual provider Active NPI

Adam Walter Specjal, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1528258472
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1528258472 Issued in GA
Practice address
19 Shad River Rd
Savannah, GA 31410-1743
Phone
(912) 809-9093
NPI assigned
Jul 26, 2007
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1528258472 GA Primary

Addresses

Primary practice location

19 Shad River Rd
Savannah, GA 31410-1743

Mailing address

19 Shad River Rd
Savannah, GA 31410-1743
Phone (912) 809-9093

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1528258472GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Insight Psychotherapy LLC CurrentSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1528258472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SHAD RIVER RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101743",
            "telephone_number": "912-809-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SHAD RIVER RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101743",
            "telephone_number": "912-809-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECJAL",
        "first_name": "ADAM",
        "middle_name": "WALTER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "1528258472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.