| Mrs Kelli Adams, LCSW LISW | |
|
4906 Lowell Dr, Ave Maria, FL 34142-9573 | |
| (239) 281-4365 | |
| Not Available |
| Full Name | Mrs Kelli Adams |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 31 Years |
| Location | 4906 Lowell Dr, Ave Maria, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912597956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1101380 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW11799 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1232 |
| Grow Healthcare Group Pa | 3476961368 | 994 |
| Grow Healthcare Group Pa | 3476961368 | 994 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelli Adams, LCSW LISW 4906 Lowell Dr, Ave Maria, FL 34142-9573 Ph: (239) 281-4365 | Mrs Kelli Adams, LCSW LISW 4906 Lowell Dr, Ave Maria, FL 34142-9573 Ph: (239) 281-4365 |
Joyce Blatner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6173 Victory Dr, Ave Maria, FL 34142 Phone: 239-823-8564 | |
Patrice C Fernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5479 Cassidy Ln, Ave Maria, FL 34142 Phone: 239-427-2394 | |
Mrs. Maribel Benavides, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5178 Roma St, Ave Maria, FL 34142 Phone: 305-331-2180 | |
Mary Elizabeth Herold Von Mohr, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5344 Allen Pl, Ave Maria, FL 34142 Phone: 904-304-7117 |