DR. PORTIA ELIZABETH ADAMS (NPI# 1811533276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811533276 |
| Entity Type | Individual |
| Full Name | DR. PORTIA ELIZABETH ADAMS |
| Credential | LCSW, PHD |
| Practice Address |
712 E War Memorial Dr Peoria IL 61616-7548 |
| Mailing Address |
123 Sw Jefferson Ave Ste 115 Peoria IL 61602-1222 |
| Practice Telephone | 3049068999 |
| Mailing Telephone | 3049068999 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.020960 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476308 | Portia Adams | Social Worker | 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 | 2019-03-15 |
| Street Address |
712 E WAR MEMORIAL DR |
| City | PEORIA |
| State | IL |
| Zip Code | 61616-7548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| 1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
| 1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
| 1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
| 1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
| 1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
| 1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
| 1114026754 | Mark Montefolka | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2006-09-21 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| Find all providers in zip 61616 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857305 | Kelsey Hardy | Social Worker | 306 Pecan St, Peoria, IL 61602-1662 | 2020-10-05 |
| 1821608985 | Jozie Allen | Social Worker | 1001 Main St Ste 107, Peoria, IL 61606-1907 | 2020-08-04 |
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1205498573 | Leith Elan Bucher | Social Worker | 1801 W Gardenia Dr Apt 13312, Peoria, IL 61615-7098 | 2019-07-08 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1568934164 | Venus E Evans-winters | Social Worker | 4507 N Sterling Ave Ste 201, Peoria, IL 61615-3861 | 2018-12-19 |
| 1700301058 | Lisa Gail Childers | Social Worker | 508 W Timber Ridge Dr, Peoria, IL 61615-2057 | 2017-08-08 |
| 1538608690 | Phoenix Wellness, LLC | Social Worker | 2020 W War Memorial Dr, Ste 304, Peoria, IL 61614-6754 | 2017-02-21 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1033654272 | Stephanie Henry | Social Worker | 6726 W Brown St, Peoria, AZ 85345-6872 | 2016-12-26 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.