Individual provider Active NPI

Seynab Hussein, MSW, LICSW

  • Clinical Social Worker
  • Maplewood, MN
National Provider Identifier
1487400206
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30126 Issued in MN
Practice address
1973 Sloan PL Ste 225
Maplewood, MN 55117-2094
Phone
(612) 293-6591
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 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 30126 MN Primary

Addresses

Primary practice location

1973 Sloan PL Ste 225
Maplewood, MN 55117-2094

Mailing address

475 Cleveland Ave N
Suite 316
Saint Paul, MN 55104-4235
Phone (612) 293-6591

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250326001740 MN Practitioner - Clinical Social Worker 4183147556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30126MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larkey and Wright Inc Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

475 Cleveland Ave N
Ste 316
Saint Paul, MN 55104
Phone (651) 330-3434

1973 Sloan Pl
Ste 225
Saint Paul, MN 55117
Phone (651) 330-3434

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1487400206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N",
            "address_2": "SUITE 316",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044235",
            "telephone_number": "612-293-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 SLOAN PL STE 225",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172094",
            "telephone_number": "612-293-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "SEYNAB",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "30126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.