Kasim Abdurrazzaq, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19934 Issued in MN

Practice address

1041 Selby Ave
Saint Paul, MN 55104-6535

Phone

(612) 813-5034

Fax

(651) 925-0044

NPI assigned

Jan 29, 2014

Last updated

Aug 12, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Abdur Razzaq Counseling & Social Architecture, PA

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1669846960
  Authorized official Same address or phone

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1154744001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 MARSHALL AVE",
            "address_2": "SUITE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046350",
            "telephone_number": "651-329-6171",
            "fax_number": "651-340-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046535",
            "telephone_number": "612-813-5034",
            "fax_number": "651-925-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDURRAZZAQ",
        "first_name": "KASIM",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridwaan Abdullahi
• Ikran Sacdi Abdulle
• Abdulatif Abdulrahman
• Abdur Razzaq Counseling & Social Architecture, PA
• Yana Abdurakhmanova
• Ann M Abel, AU.D., CCC-A
• Matthew G Abeln, M.D.
• Rediet Tewodros Abera
• Michael Aberra
• Irfaan Ahmed Abid, DO

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, 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 Aug 12, 2016; 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.