MEDICARE: MRS. ALISHA ADEBAYO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC06343800	NJ
2	1041C0700X	Clinical Social Worker	112370	CA
3	1041C0700X	Clinical Social Worker	13632	CT
4	1041C0700X	Clinical Social Worker	60149	TX
5	1041C0700X	Clinical Social Worker	2022034658	MO
6	1041C0700X	Clinical Social Worker	127929	MA

General Provider Information

NPI Number	:	1699070789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISHA ADEBAYO LCSW

Provider Business Mailing Address
First Line	:	8710 GRAND MISSION BLVD STE H
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5413
Country	:	US
Telephone Number	:	832-604-3963
Fax Number	:

Provider Business Practice Location Address
First Line	:	8710 GRAND MISSION BLVD STE H
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5413
Country	:	US
Telephone Number	:	832-604-3963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2011
Last Update Date	:	03/26/2026

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