Provider Demographics
NPI:1164662938
Name:ADAMS, PAULA LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7327 KAINER SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-6392
Mailing Address - Country:US
Mailing Address - Phone:505-801-4516
Mailing Address - Fax:
Practice Address - Street 1:7327 KAINER SPRINGS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-6392
Practice Address - Country:US
Practice Address - Phone:505-801-4516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0092971171W00000X, 101YA0400X
TX614391041C0700X
NMI-081591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171W00000XOther Service ProvidersContractor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM70405760Medicaid