Provider Demographics
NPI:1235291485
Name:ADAMS, JANE MICHELE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:MICHELE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 HARDING AVE
Mailing Address - Street 2:APT A
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-4150
Mailing Address - Country:US
Mailing Address - Phone:707-280-9419
Mailing Address - Fax:707-294-2449
Practice Address - Street 1:605 CABOT WAY
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4731
Practice Address - Country:US
Practice Address - Phone:707-280-9419
Practice Address - Fax:707-294-2449
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 218941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical