Individual provider Active NPI

Halimo Hassan Warsame

  • Clinical Social Worker
  • Shakopee, MN
National Provider Identifier
1073338026
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
805 Roundhouse St
Shakopee, MN 55379-4334
Phone
(507) 995-1421
NPI assigned
Nov 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 Primary

Addresses

Primary practice location

805 Roundhouse St
Shakopee, MN 55379-4334

Mailing address

805 Roundhouse St
Shakopee, MN 55379-4334
Phone (507) 995-1421

Other practice location 1

805 Roundhouse St
Shakopee, MN 55379-4334
Phone (507) 995-1421

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1073338026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ROUNDHOUSE ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794334",
            "telephone_number": "507-995-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ROUNDHOUSE ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794334",
            "telephone_number": "507-995-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Roundhouse St",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553794334",
            "country_code": "US",
            "telephone_number": "507-995-1421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARSAME",
        "first_name": "HALIMO",
        "middle_name": "HASSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.