Provider Demographics
NPI:1437631363
Name:ADAMS, JILL COLLEEN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:COLLEEN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:COLLEEN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:985 GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3976
Mailing Address - Country:US
Mailing Address - Phone:413-562-6244
Mailing Address - Fax:
Practice Address - Street 1:985 GRANVILLE ROAD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085
Practice Address - Country:US
Practice Address - Phone:413-262-0455
Practice Address - Fax:413-562-6960
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10312061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical