Alexander F Macdonald, LSCSW

Individual provider Active NPI Clinical Social Worker · Atascocita, TX

NPI 1013904580 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1013904580
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
104095 (TX)
Practice address
18700 W Lake Houston Pkwy Ste A102
Atascocita, TX 77346-3350
Phone
(913) 967-9039
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18700 W Lake Houston Pkwy
Suite A102
Atascocita, TX 77346-3350
Phone (913) 967-9039

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210415001288 TX Practitioner - Clinical Social Worker 9739597527 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
104095TXMDSpeech-Language Pathologist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical Current
since Apr 13, 2021
Accepting new patients
Alexander Macdonald Af Macdonald Counseling Clinical Current
since May 11, 2024
Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

18700 W Lake Houston Pkwy
Ste A102
Humble, TX 77346
Phone (281) 940-5820

Networks

  • TX HMO

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104095 TX Yes

Addresses

Primary practice location

18700 W Lake Houston Pkwy Ste A102
Atascocita, TX 77346-3350

Mailing address

18700 W Lake Houston Pkwy Ste A102
Atascocita, TX 77346-3350
Phone (913) 967-9039

Other providers in Atascocita, TX

All providers in Atascocita, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.