Jacy Lane Adams, LCSW
Individual provider Active NPI Clinical Social Worker · San Antonio, TX
NPI 1801427679 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1801427679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 61400 (TX)
- Practice address
- 8207 Callaghan Rd Ste 425
San Antonio, TX 78230-4737 - Phone
- (210) 366-3700
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61400 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61400 | TX | Yes |
Addresses
Primary practice location
8207 Callaghan Rd Ste 425
San Antonio, TX 78230-4737
Mailing address
8207 Callaghan Rd Ste 425
San Antonio, TX 78230-4737
Phone (210) 366-3700
Other providers in San Antonio, TX
- Donald F Adams
- Elizabeth Anne Adams
- Frank G. Adams
- Gordon Adams
- Jacqueline Gioiello Adams
- James W Adams
- James Ward Adams
- Jason Paul Adams
- Jaye Elaine Adams
- Jo Ann Adams
All providers in San Antonio, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.