Individual provider Active NPI

Adam Hewitt

  • Clinical Social Worker
  • Lamar, MO
National Provider Identifier
1841666997
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2015024167 Issued in MO
Practice address
1107 Broadway St
Lamar, MO 64759-1758
Phone
(417) 682-5757
Fax
(417) 682-5757
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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 2015024167 MO Primary

Addresses

Primary practice location

1107 Broadway St
Lamar, MO 64759-1758

Mailing address

1107 Broadway St
Lamar, MO 64759-1758
Phone (417) 682-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150901000637 MO Practitioner - Clinical Social Worker 4789990029 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Health Wellness Systems CurrentSince Aug 30, 2021 Accepting new patients
Allied Mental Health Associates, Inc. Clinical PastSince Aug 18, 2015 Accepting new patients

Locations

100 S Prewitt St
Nevada, MO 64772
Phone (417) 283-2072

Organizations & group practices 2

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1841666997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROADWAY ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591758",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BROADWAY ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591758",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015024167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

Verify at the official NPI Registry.