Healthcare Provider Details

I. General information

NPI: 1497425979
Provider Name (Legal Business Name): JAYNE REEL ADAMS LCSW, PMH-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANE REEL

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2659 STATE ST
CARLSBAD CA
92008-1627
US

IV. Provider business mailing address

86 FLEET PL APT 2E
BROOKLYN NY
11201-7127
US

V. Phone/Fax

Practice location:
  • Phone: 855-387-4378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103486
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: