Active NPI
Seynab Hussein, MSW, LICSW
- Clinical Social Worker
- Maplewood, MN
National Provider Identifier
1487400206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30126 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larkey and Wright Inc | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.