Individual provider Active NPI

Safiya Ali Sheikh-Mohamed

  • Clinical Social Worker
  • Eden Prairie, MN
National Provider Identifier
1043600315
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27824 Issued in MN
Practice address
7550 Market Place Dr Ste 3
Eden Prairie, MN 55344-3636
Phone
(651) 299-0044
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27824 MN Primary

Addresses

Primary practice location

7550 Market Place Dr Ste 3
Eden Prairie, MN 55344-3636

Mailing address

7550 Market Place Dr Ste 3
Eden Prairie, MN 55344-3636
Phone (651) 299-0044

Other practice location 1

8400 Normandale Lake Blvd Ste 973
Bloomington, MN 55437-1085
Phone (651) 299-0044

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27824MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Mental Health Solutions Clinical CurrentSince Dec 9, 2019 Accepting new patients

Locations

7550 Market Place Dr
#3
Eden Prairie, MN 55344
Phone (651) 299-0044

1007 W Broadway Ave
Ste 200
Minneapolis, MN 55411
Phone (651) 300-5333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1043600315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 MARKET PLACE DR STE 3",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636",
            "telephone_number": "651-299-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 MARKET PLACE DR STE 3",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443636",
            "telephone_number": "651-299-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 Normandale Lake Blvd Ste 973",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554371085",
            "country_code": "US",
            "telephone_number": "651-299-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEIKH-MOHAMED",
        "first_name": "SAFIYA",
        "middle_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2022-10-05",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.