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NPI Code Detail

MEDICARE: CASSANDRA R ADAMS LCSW

MEDICARE: CASSANDRA R ADAMS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW13837FL

General Provider Information

NPI Number : 1942762869
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA R ADAMS LCSW
Provider Business Mailing Address
First Line : 2190 NW RESERVE PARK TRCE STE 13
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34986-3328
Country : US
Telephone Number : 772-200-4599
Fax Number :
Provider Business Practice Location Address
First Line : 1849 SE PORT ST LUCIE BLVD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34952-5530
Country : US
Telephone Number : 772-208-9670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2019
Last Update Date : 07/20/2020

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Directions to “ CASSANDRA R ADAMS LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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