SANDRA MARIE ADAMS, PhD, CSAC, ICS — NPI 1487744918 (Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical in NEW BERLIN, WI)

CMS-1500 Box 24J / 33a • NPI

1487744918

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1041C0700X (CMS 80)

Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical

Box 32 Service Location & ZIP+4

15350 W NATIONAL AVE STE 108, NEW BERLIN, WI, 53151-5158

✓ 9-Digit EDI 837 ZIP+4 (53151-5158)

Practice Phone & Referral Fax

(262) 249-6565

Fax: (262) 910-5477

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487744918 (SANDRA MARIE ADAMS, PhD, CSAC, ICS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487744918` (NPI-1 Individual Practitioner)
Provider / Legal Name	SANDRA MARIE ADAMS, PhD, CSAC, ICS
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: `1041C0700X` (Social Worker, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15350 W NATIONAL AVE STE 108, NEW BERLIN, WI, 53151-5158
Practice Telephone / Fax	Tel: (262) 249-6565 \| Fax: (262) 910-5477
Administrative Mailing Address	W300S10397 LAKESIDE DR, MUKWONAGO, WI, 53149-9126
Enumeration & Last Sync	Enumerated: 2006-10-13 \| CMS Record Updated: 2025-08-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15350 W NATIONAL AVE STE 108, NEW BERLIN, WI, 53151-5158

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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SANDRA MARIE ADAMS, PhD, CSAC, ICS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: WI \| License: `5093-57` \| Primary: Secondary
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: WI \| License: `2042` \| Primary: Secondary
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: WI \| License: `2838123` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: WI \| License: `2838` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SANDRA MARIE ADAMS, PhD, CSAC, ICS (NPI #1487744918)