Dane Adam, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21414 Issued in CA

Practice address

4720 Wilson Ave
San Diego, CA 92116-2406

Phone

(619) 512-3263

NPI assigned

May 28, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306540800000",
    "number": "1750675492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WILSON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162406",
            "telephone_number": "619-512-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 WILSON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162406",
            "telephone_number": "619-512-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "DANE",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-28",
        "last_updated": "2011-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Cab
• Adam Krause Physical Therapy PC
• Adam M Holleran MD a Professional Medical Corporation
• Adam Markle LMFT
• Shukri Yousef Adam-Farah, RN, PHN, MHCA
• Jaclyn Adamcewicz, DACM, L.AC.
• Joanna Eva Adamczak, M.D.
• Alison Lou Adamczyk, D.C.
• Elizabeth Adamczyk
• Mayra Adame Vega

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.