Ali Jamal Shireh

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25175 Issued in MN

Practice address

2355 Highway 36 W Ste 419
Roseville, MN 55113-3902

Phone

(651) 276-1535

Fax

(651) 666-1211

NPI assigned

Aug 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aurora Counseling Center Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, MN
  • NPI 1821725177
  NPD Authorized official
• Integrative Health & Wellness Clinic

  • Primary Care Clinic/Center
  • Brooklyn Park, MN
  • NPI 1023909595
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1730735119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554870999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 419",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133902",
            "telephone_number": "651-276-1535",
            "fax_number": "651-666-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIREH",
        "first_name": "ALI",
        "middle_name": "JAMAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylane Sherif
• Jerry Wayne Sherwood, DDS
• John Marshall Sherwood, M.D.
• Sheryl Niebuhr Consulting, LLC
• Kyle Shipley, MD
• Mohammad Reza Shirmast, DDS
• Shoshana E. Englard MD PA
• Kirsten Shrawder
• Sneha Shukla, MD
• Fareed Siddiqui

• Clinical Social Worker in Roseville, MN
• Providers in Roseville, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.