Active NPI
Stephanie Adams, LCSW MAC
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1790106334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6428
- Practice address
- 1527 Foxdale Dr
Murfreesboro, TN 37130-5725 - Phone
- (615) 396-7955
- NPI assigned
- Dec 28, 2013
- Last updated
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 6428 | TN | Primary |
Addresses
Primary practice location
1527 Foxdale Dr
Murfreesboro, TN 37130-5725
Mailing address
1527 Foxdale Dr
Murfreesboro, TN 37130-5725
Phone (615) 396-7955
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6428 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucid Lane Providers, P.C. | Clinical | Past | 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": "1388188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1790106334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 FOXDALE DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371305725",
"telephone_number": "615-396-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 FOXDALE DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371305725",
"telephone_number": "615-396-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "STEPHANIE",
"credential": "LCSW MAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-28",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.