Jacqueline Ann Adams-Hove, LCSW
Individual provider Active NPI Clinical Social Worker · Fargo, ND
NPI 1962869909 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1962869909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW6585 (FL)
- Practice address
- 2101 Elm St N
Fargo, ND 58102-2417 - Phone
- (701) 239-3700
- NPI assigned
- Jan 21, 2016
- 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 |
|---|---|---|---|
| SW6585 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW6585 | FL | Yes |
Addresses
Primary practice location
2101 Elm St N
Fargo, ND 58102-2417
Mailing address
2101 Elm St N
Fargo, ND 58102-2417
Phone (701) 239-3700
Other providers in Fargo, ND
- Activate Physical Therapy and Wellness
- Active at Home Helpers
- Active at Home Helpers
- Active Family Chiropractic, PC
- Active Glory Health Care
- Bobbie Sue Adams
- Connie Marie Adams
- Daniel Robert Adams
- Julia Adams
- Julie A Adams
All providers in Fargo, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. 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.