Stephanie Abigail Adams
Individual provider Active NPI Social Worker · St Petersburg, FL
NPI 1992217079 · NPPES record last updated Feb 3, 2023
Key facts
- NPI
- 1992217079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 3601 18TH St N
St Petersburg, FL 33713-1905 - Phone
- (181) 827-6546
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230321003032 | CA | Practitioner - Clinical Social Worker | 5092189654 | Reassigns benefits to 1 organization |
| I20250401001305 | FL | Practitioner - Clinical Social Worker | 5092189654 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current |
Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
3601 18TH St N
St Petersburg, FL 33713-1905
Mailing address
PO Box 76543
St Petersburg, FL 33734-6543
Phone (818) 276-5467
Other providers in St Petersburg, FL
- Acupuncture Alchemy Chartered
- Adam S. Di Dio, M.D., P.a.
- Christina Adams
- Lauren Kelly Adams
- Sekeitha Adams
- William W Adams
- William T Adamson
- Adapt & Transform Behavior
- Adapt & Transform Behavior LLC
- Adapt & Transform Behavior LLC
All providers in St Petersburg, FL · Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.