Abdulahi Abdi Mohamed, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17530 Issued in MN

Practice address

2700 E. Lake Street
Suite 2100
Minneapolis, MN 55406

Phone

(612) 767-7770

Fax

(612) 767-7772

NPI assigned

Dec 3, 2009

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

Other identifiers 1

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Metro Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1568778660
  Medicare reassignment NPD Authorized official
• Olympic Medical Supply, Limited

  • Durable Medical Equipment & Medical Supplies
  • Minneapolis, MN
  • NPI 1396128302
  NPD Authorized official

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1255669156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E LAKE ST",
            "address_2": "SUITE 2100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061963",
            "telephone_number": "612-767-7770",
            "fax_number": "612-767-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E. LAKE STREET",
            "address_2": "SUITE 2100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-767-7770",
            "fax_number": "612-767-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ABDULAHI",
        "middle_name": "ABDI",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568778660",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdirehman Mohamed
• Abdirizak Abdikarim Mohamed
• Abdirizak Hassan Mohamed, BEHAVIOR TECHNICIAN
• Abdiwali Mohamed
• Abdul Mohamed
• Abdulkadir Mohamed
• Abdullahi Mohamed
• Abdulmateen Mohamed, BT
• Adam Mohamed
• Aden Abdirahman Mohamed

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 Jan 20, 2017; 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.