Active NPI
Ibrahim Osman
- Social Worker
- Minneapolis, MN
National Provider Identifier
1649035056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 349 Naegele Ave
Minneapolis, MN 55421-3769 - Phone
- (612) 242-9685
- NPI assigned
- Feb 14, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MN | Primary |
Addresses
Primary practice location
349 Naegele Ave
Minneapolis, MN 55421-3769
Mailing address
349 Naegele Ave
Minneapolis, MN 55421-3769
Phone (612) 242-9685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1649035056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 NAEGELE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554213769",
"telephone_number": "612-242-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 NAEGELE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554213769",
"telephone_number": "612-242-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMAN",
"first_name": "IBRAHIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.