| Tina Jane Adams, LCSW, MSW, BHP | |
|
2717 N 4th St Ste 23a, Flagstaff, AZ 86004-1847 | |
| (928) 606-5306 | |
| (928) 527-3119 |
| Full Name | Tina Jane Adams |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2717 N 4th St Ste 23a, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497241228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17130 (Arizona) | Primary |
| 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: O20210318002844 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Jane Adams, LCSW, MSW, BHP 5775 Buckboard Trl, Flagstaff, AZ 86004-5287 Ph: (928) 606-5306 | Tina Jane Adams, LCSW, MSW, BHP 2717 N 4th St Ste 23a, Flagstaff, AZ 86004-1847 Ph: (928) 606-5306 |
Mrs. Kathryn Louise Peterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 E Birch Ave, Flagstaff, AZ 86001 Phone: 928-213-0068 Fax: 928-774-4367 | |
Mrs. Tempest Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2801 N Izabel St, Flagstaff, AZ 86004 Phone: 928-773-8200 | |
Candace Stewart, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2187 N Vickey St, Flagstaff, AZ 86004 Phone: 928-714-6401 Fax: 928-714-6480 | |
Ms. Star Kelley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-522-9685 | |
Molly Elizabeth Haak, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 N Leroux St Ste C, Flagstaff, AZ 86001 Phone: 289-864-7250 | |
Hannah Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 E Cedar Ave Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245 | |
Cherise Elizabeth Grimit Hovis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6145 E Treadway Trl, Flagstaff, AZ 86004 Phone: 928-773-8270 |