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KELLY ANN ADAMS LCSW
NPI 1790568210
Social Worker - Clinical in Richmond, TX

Active since August 17, 2023Opted out of Medicare · through Jul 18, 2028
22119 EMERALD RUN LN, RICHMOND, TX 77469(832) 216-6077 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Kelly Ann Adams Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN ADAMS LCSW (NPI 1790568210) is an individual clinical provider in Richmond, Texas, licensed in Texas (69443) and active in the NPI registry since August 2023. She has opted out of Medicare through July 18, 2028.

NPPES Registry Identity

NPI1790568210
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANN ADAMSCredential: LCSW
Location Address22119 EMERALD RUN LNRichmond, TX 77469-6356
Mailing Address22119 Emerald Run LnRichmond, TX 77469-6356 · (832) 216-6077
Phone(832) 216-6077
Sole ProprietorNo
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1790568210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 69443
Definition
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.
22119 EMERALD RUN LN, Richmond, TX 77469
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Other Names 1

Former Name (1)Kelly Ann Klak Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Ann Adams Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2024 through July 18, 2028.

Opt-Out Effective DateJuly 18, 2024
Opt-Out In Effect ThroughJuly 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Adams's NPI number?

The NPI number for Kelly Adams is 1790568210. It was assigned to this individual provider in the NPPES registry on August 17, 2023. The provider is also known as Kelly Ann Klak Lcsw.

Where is Kelly Adams located?

Kelly Adams practices at 22119 Emerald Run Ln, Richmond, TX 77469. The listed phone number is (832) 216-6077.

What is Kelly Adams's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Adams enrolled in Medicare?

No. Kelly Adams has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly Adams was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.