Provider Demographics
NPI:1184764474
Name:ADAMS, JYL E (LCSW)
Entity type:Individual
Prefix:MS
First Name:JYL
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JYL
Other - Middle Name:E
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:596 W OAKHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6741
Mailing Address - Country:US
Mailing Address - Phone:208-484-3359
Mailing Address - Fax:
Practice Address - Street 1:596 W OAKHAMPTON DR
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6741
Practice Address - Country:US
Practice Address - Phone:208-321-4166
Practice Address - Fax:208-321-4167
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW 285511041C0700X
NV11376-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical