Carol Adams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1164 63Rd Ave NE
Salem, OR 97317-2313

Phone

(503) 871-2020

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways - Child and Family Services - LLC

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1992114490

  OR

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1649498262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 63RD AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973172313",
            "telephone_number": "503-871-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 63RD AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973172313",
            "telephone_number": "503-871-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Jordan Adair, PMHNP-BC
• Nohely Adame Deloya
• Freddie Andres Adame
• Jesse Adame
• Anna Elizabeth Bertrand Adams, NP
• Christine Kimberlee Adams, PA-C
• Darci Carolyn Adams, PTA,LMT
• Ellany Christina Adams, LCSW
• Kadira Sade Adams I
• Kaia Marie Adams, MD

• All providers in Salem, OR
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.

Verify at the official NPI Registry.