Healthcare Provider Details

I. General information

NPI: 1427952001
Provider Name (Legal Business Name): KATRINA YVETTE ADAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FORT ROOTS DR
NORTH LITTLE ROCK AR
72114-1709
US

IV. Provider business mailing address

35 BIG BEND DR
MABELVALE AR
72103-2070
US

V. Phone/Fax

Practice location:
  • Phone: 501-920-7587
  • Fax:
Mailing address:
  • Phone: 501-920-7587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8478-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: