Organization Active NPI

Be Well Services LLC

  • Clinical Social Worker
  • Blaine, MN
National Provider Identifier
1417819350
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BE WELL SERVICES LLC
Practice address
12536 Guadalcanal Cir NE Unit B
Blaine, MN 55449-7456
Phone
(612) 450-0363
NPI assigned
Dec 1, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Hamdiya Abdulmalik
Title
Co-Owner
Phone
(612) 450-0363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

12536 Guadalcanal Cir NE Unit B
Blaine, MN 55449-7456

Mailing address

12536 Guadalcanal Cir NE Unit B
Blaine, MN 55449-7456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1417819350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12536 GUADALCANAL CIR NE UNIT B",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12536 GUADALCANAL CIR NE UNIT B",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497456",
            "telephone_number": "612-450-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "ABDULMALIK",
        "authorized_official_first_name": "HAMDIYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-450-0363"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.