Healthcare Provider Details

I. General information

NPI: 1609764109
Provider Name (Legal Business Name): CASEY ADAMS LCSW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOPE ST
PROVIDENCE RI
02906-2001
US

IV. Provider business mailing address

62 TUCKER AVE APT 3
CRANSTON RI
02905-3356
US

V. Phone/Fax

Practice location:
  • Phone: 401-331-1350
  • Fax: 401-277-3385
Mailing address:
  • Phone: 860-933-2651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW04102
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: