Yussuf Shafie, MSW LICSW, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

8040 Old Cedar Ave S Ste 101
Bloomington, MN 55425-1211

Phone

(952) 992-9803

Fax

(952) 405-9723

NPI assigned

Jun 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Alliance Wellness Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bloomington, MN
  • NPI 1184017279
  Medicare reassignment NPD Authorized official
• Adams Place LLC

  • Home Health Agency
  • Lakeville, MN
  • NPI 1164231569
  NPD Authorized official
• Bloomington Labs LLC

  • Clinical Medical Laboratory
  • Blommington, MN
  • NPI 1063191229
  NPD Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1104276161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 OLD CEDAR AVE S",
            "address_2": "STE 101",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251205",
            "telephone_number": "952-562-3740",
            "fax_number": "952-405-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 OLD CEDAR AVE S STE 101",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251211",
            "telephone_number": "952-992-9803",
            "fax_number": "952-405-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIE",
        "first_name": "YUSSUF",
        "credential": "MSW LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly McCormick Sexe
• Erin Shackett, LICSW
• Caitlin Elizabeth Shafer
• William Shaffer, MD
• Ifrah S Shafie, PMHNP
• Raina Shah
• Madina Ali Shahin
• Syed Mustafa Shahkhan, MD
• Saad Mahmood Shaikh, MDT, BSDH
• Kathryn Shalbrack, P.A.

• Addiction (Substance Use Disorder) Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.