Active NPI
Kenneth Alexander Adair, LCSW
- Clinical Social Worker
- Watertown, CT
National Provider Identifier
1790287159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10952
- Practice address
- 37 Rockdale Ave
Watertown, CT 06779-1936 - Phone
- (203) 312-7048
- NPI assigned
- Mar 1, 2018
- Last updated
- Sep 12, 2024
- Sex
- Male
- 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 | 10952 | CT | Primary |
Addresses
Primary practice location
37 Rockdale Ave
Watertown, CT 06779-1936
Mailing address
37 Rockdale Ave
Watertown, CT 06779-1936
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifford W. Beers Guidance Clinic Inc | 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.
-
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- New Haven, CT
- NPI 1073526968
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1790287159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 ROCKDALE AVE",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067791936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 ROCKDALE AVE",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067791936",
"telephone_number": "203-312-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAIR",
"first_name": "KENNETH",
"middle_name": "ALEXANDER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-01",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.