Provider Demographics
NPI:1992816805
Name:ADAMS, CALIE MAY (MSW)
Entity type:Individual
Prefix:
First Name:CALIE
Middle Name:MAY
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CALIE
Other - Middle Name:MAY
Other - Last Name:BETTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SSW
Mailing Address - Street 1:3726 E CAMPUS DR STE H
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-4514
Mailing Address - Country:US
Mailing Address - Phone:801-789-7780
Mailing Address - Fax:801-789-7700
Practice Address - Street 1:750 NOTH 200 WEST
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601
Practice Address - Country:US
Practice Address - Phone:801-373-4760
Practice Address - Fax:801-373-0639
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT161394811104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker