Individual provider Active NPI

Jessica Allison Adelman, L.C.S.W.

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1821254434
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7419 Issued in FL
Practice address
5551 N University Dr Ste 202
Coral Springs, FL 33067-4651
Phone
(954) 673-1234
Fax
(954) 341-1740
NPI assigned
Aug 3, 2008
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7419 FL Primary

Addresses

Primary practice location

5551 N University Dr Ste 202
Coral Springs, FL 33067-4651

Mailing address

5551 N University Dr Ste 202
Coral Springs, FL 33067-4651
Phone (954) 673-1234

Other practice location 1

5411 N University Dr
#101
Coral Springs, FL 33067-4637
Phone (954) 673-1234

Other identifiers 1

IdentifierTypeStateIssuer
Z01NHOtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110212000116 FL Practitioner - Clinical Social Worker 4880873611 Practice locations: Coral Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5551 N University Dr
Suite 202
Coral Springs, FL 33067-4651
Phone (954) 673-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7419FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1821254434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-673-1234",
            "fax_number": "954-341-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-673-1234",
            "fax_number": "954-341-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5411 N University Dr",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330674637",
            "country_code": "US",
            "telephone_number": "954-673-1234",
            "fax_number": "954-341-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "JESSICA",
        "middle_name": "ALLISON",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z01NH",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.