Yaasmeen Siddeeqa Muslima Ibrahim, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2204166 Issued in OH

Practice address

5010 Mayfield Rd Ste 210
Lyndhurst, OH 44124-2692

Phone

(216) 505-4774

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1003515149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 SHADOW CREEK PKWY APT 202",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847348",
            "telephone_number": "630-890-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD STE 210",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242692",
            "telephone_number": "216-505-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "YAASMEEN SIDDEEQA",
        "middle_name": "MUSLIMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109796",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Nadege Hunter, B.S., D.C.,
• Amanda Huscroft, RD
• Nicholas R Husni, MD PHD
• Jessica Rene Hutchins, MD
• Shijia Hwang, PHARMD
• Innovative Medical Equipment LLC
• Inspire Hope
• Institute for Womens and Childrens Health, Inc.
• David Louis Isaacs, RPH CDM
• Terence Isakov, MD

• Clinical Social Worker in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.