Samira Mohamed Adam – Clinical Social Worker

Key facts

NPI: 1417435264
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 29314 (MN)
Practice address: 2400 Park Ave
Minneapolis, MN 55404-3713
Phone: (888) 881-8261
NPI assigned: Aug 3, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Kind Waters Therapy & Wellness. PLLC Mental Health Counselor · Minneapolis, MN · NPI 1447852637

NPD (past) MENTAL HEALTH
Lutheran Social Service of Minnesota Community/Behavioral Health Agency · Saint Cloud, MN · NPI 1629192430

NPD (past)
The Mental Health Collective Mental Health Clinic/Center (Including Community Mental Health Center) · Minneapolis, MN · NPI 1932126794

NPD (past)
Watercourse Counseling Center Community/Behavioral Health Agency · Minneapolis, MN · NPI 1770847246

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
29314	MN	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Watercourse Counseling Center		Past	Accepting new patients
Kind Waters Therapy & Wellness. PLLC	Mental Health	Past since Nov 15, 2020	Accepting new patients
The Mental Health Collective		Past	Accepting new patients
Lutheran Social Service of Minnesota		Past since Jun 27, 2016	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	29314	MN	Yes

Addresses

Primary practice location

2400 Park Ave
Minneapolis, MN 55404-3713

Mailing address

9976 Hamlet LN S
Cottage Grove, MN 55016-3878
Phone (651) 434-7551

Other practice location 1

3557 33rd Ave S
Minneapolis, MN 55406-2724
Phone (612) 599-9488

Other providers in Minneapolis, MN

Kos Adam
Mary Elizabeth Adam, CNS
Mohamed Adam
Mushtaq Adam
Patricia Adam, M.D.
Shihab Kamal Adam
Rebecca Adamek Peckels, D.C.
Stephanie Adamek, PA-C
Daniel James Adamietz, D. C. MS, ATC, CSCS
Nathan Michael Adamietz, DO

All providers in Minneapolis, MN · Clinical Social Worker in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.