Soreya Mohamud Jama, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22992 Issued in MN

Practice address

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

Phone

(612) 703-8828

Fax

(952) 658-0434

NPI assigned

May 29, 2015

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Soreya Jama Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Inova Care Services LLC

  dba Inova Care Services

  • Clinical Social Worker
  • Golden Valley, MN
  • NPI 1033888391
  NPD Authorized official
• Associated Clinic of Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
  • NPI 1588741292
  NPD (past)
• Iska Inc

  • Developmentally Disabled Services Day Training Agency
  • St Louis, MN
  • NPI 1053772939
  NPD (past)

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1053790568",
    "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",
            "fax_number": "952-658-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMA",
        "first_name": "SOREYA",
        "middle_name": "MOHAMUD",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053569798",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOREYA",
            "last_name": "JAMA",
            "credential": "MSW, LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joanne Denise Jahnke, COTA
• Karli Jahnke, OT
• Eleanor Jailer-Coley
• Egran Hassan Jama
• Omar Ali Jama
• James R. Miller DDS Ms PA (Advances in Orthodontics, PA)
• Barbara Ethel Jampsa
• Jennifer S Jarrett, PA-C
• Joseph Robert Jefferson, PSYD, LP, LMFT, CPRP
• Jessica Jenkins

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.