Timothy E Adams, LCSW
Individual provider Active NPI Clinical Social Worker · Orem, UT
NPI 1922290436 · NPPES record last updated Aug 17, 2007
Key facts
- NPI
- 1922290436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 287810-3501 (UT)
- Practice address
- 251 East 1200 South
Orem, UT 84058-6905 - Phone
- (801) 226-2255
- Fax
- (801) 226-2578
- NPI assigned
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 287810-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah County Council on Drug Abuse Rehabilitation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 287810-3501 | UT | Yes |
Addresses
Primary practice location
251 East 1200 South
Orem, UT 84058-6905
Mailing address
251 E 1200 S
Orem, UT 84058-6905
Phone (801) 226-2255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02878103500001 | Other | BLUE CROSS | |
| 870298699000 | Medicaid | UT | |
| 5995175 | Other | AETNA |
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2007. 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.