Joshua Ray Adair, LCSW

Individual provider Active NPI Clinical Social Worker · Austin, TX

NPI 1306507249 · NPPES record last updated Aug 2, 2024

Key facts

NPI
1306507249
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
106840 (TX)
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(737) 225-8836
NPI assigned
Jan 3, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
106840TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Mind & Body Wellness, PLLC Clinical Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106840 TX
Clinical Social Worker 1041C0700X 106840 TX Yes

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

2913 Dale Dr
Plano, TX 75074-6607
Phone (903) 952-0895

Other providers in Austin, TX

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

Sources for this page

Verify at the official NPI Registry.