Healthcare Provider Details

I. General information

NPI: 1568329472
Provider Name (Legal Business Name): TIFFANY ADAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 NE WINDSOR DR
LEES SUMMIT MO
64086-5594
US

IV. Provider business mailing address

507 NW 72ND TER
KANSAS CITY MO
64118-6535
US

V. Phone/Fax

Practice location:
  • Phone: 816-246-4465
  • Fax:
Mailing address:
  • Phone: 816-786-1326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2020029646
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: