Abdinasir Muhudin Hassan Sr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

H2500139320600 Issued in WI

Practice address

5515 S Disch Ave Apt 1
Cudahy, WI 53110-2630

Phone

(612) 323-6877

NPI assigned

Jul 9, 2022

Reactivated

Aug 31, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1699409326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 S DISCH AVE APT 1",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531102630",
            "telephone_number": "612-323-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 S DISCH AVE APT 1",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531102630",
            "telephone_number": "612-323-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ABDINASIR",
        "middle_name": "MUHUDIN",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-09",
        "last_updated": "2023-08-31",
        "certification_date": "2023-05-16",
        "deactivation_date": "2023-05-16",
        "reactivation_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "H2500139320600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy A Grubber, MD
• Charlene G Halbert, MA
• Bridget C Halenda, FNP-BC
• Dana M Hall
• Yousef Hasan
• Abdirizak Muhudin Hassan
• Alfatah Muhudin Hassan
• Hayat Pharmacy 12
• Jordan Tyler Hoeft, LCSW
• John Hoehn, APSW

• Clinical Social Worker in Cudahy, WI
• Providers in Cudahy, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.