Inova Care Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INOVA CARE SERVICES LLC

Doing business as

Inova Care Services

Practice address

1710 Douglas Dr N Ste 226X
Golden Valley, MN 55422-4371

Phone

(612) 703-8828

NPI assigned

Sep 9, 2021

Last updated

Sep 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soreya Mohamud Jama, LICSWNPI 1053790568

Title

Ceo

Phone

(612) 703-8828

Specialties & licenses 2

Addresses

Other names 1

• Inova Care Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soreya Mohamud Jama, MSW, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
  • NPI 1053790568
  NPD Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1033888391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 226X",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224371",
            "telephone_number": "612-703-8828",
            "fax_number": "952-658-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 226X",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224371",
            "telephone_number": "612-703-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "SOREYA",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-703-8828",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inova Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.