Rukiya Hassan, LICSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28001 Issued in MN

Practice address

8400 Normandale Lake Blvd
Bloomington, MN 55437-1085

Phone

(734) 337-0959

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1831702265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972040",
            "telephone_number": "734-337-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NORMANDALE LAKE BLVD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371085",
            "telephone_number": "734-337-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1768 Washtenaw Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481972040",
            "country_code": "US",
            "telephone_number": "734-337-0959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "RUKIYA",
        "name_prefix": "Ms.",
        "credential": "LICSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Amin Jamal Hassan
• Mohamed Hussein Hassan
• Mustafa Ahmed Hassan
• Najma Hassan
• Osman Mohamud Hassan
• Sahra Hassan
• Sahra Hussein Hassan
• Suleiman Hassan
• Sumeya Hassan
• Amira Mehadi Hassen

• Clinical Social Worker in Bloomington, MN
• Providers in Bloomington, 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 Aug 25, 2020; 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.

Verify at the official NPI Registry.