Sandra A Adams, LCSW
Individual provider Active NPI Clinical Social Worker · Salem, OR
NPI 1841370293 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1841370293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L4165 (OR)
- Practice address
- 528 Cottage St NE
Suite 300
Salem, OR 97301-3811 - Phone
- (503) 375-7733
- Fax
- (503) 362-3881
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4165 | OR | MD | Clinical Social Worker |
| 4165 | OR | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4165 | OR | Yes |
Addresses
Primary practice location
528 Cottage St NE
Suite 300
Salem, OR 97301-3811
Mailing address
PO Box 5092
Salem, OR 97304-0092
Phone (503) 375-7733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L4165 | Other | OR | BOARD OF CLINICAL SOCIAL WORKERS |
Other providers in Salem, OR
- Kathy Sue Adams
- Letitia Cecelia Adams
- Malie Adams
- Matthew Charles Adams
- Ralph E Adams
- Rocio M Adamson
- Maria R. Addessi
- Michael John Addington
- Michelle Susan Adelman
- Victor Adimoraegbu
All providers in Salem, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2010. 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.