Adams, Jessica
Adams, Jessica is an sole proprietor health care provider with primary practice located at 1 Evergreen Ave Ste 12 , Hamden CT 06518-2717. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adams, Jessica can be contacted via phone (203) 367-0220.Contact Information
Primary practice address
1 Evergreen Ave Ste 12
Hamden CT 06518-2717
Phone: (203) 367-0220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 010686 | Connecticut |
Profile Details
| NPI number | 1023649480 |
|---|---|
| LBN Legal business name | Adams, Jessica |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2020 |
| Last updated | Feb 3rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023649480 | NPPES |
| Connecticut | MEDICAID | 14615912 |
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