Individual provider Active NPI

Rami Lahyani, LICSW

  • Clinical Social Worker
  • Bloomington, MN
National Provider Identifier
1841438009
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20901 Issued in MN
Practice address
3800 American Blvd W Ste 15008052
Bloomington, MN 55431-4420
Phone
(612) 272-0703
Fax
(612) 435-4086
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20901 MN Primary

Addresses

Primary practice location

3800 American Blvd W Ste 15008052
Bloomington, MN 55431-4420

Mailing address

2300 W 96TH St
Bloomington, MN 55431-2408
Phone (612) 272-0703

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025003858 MN Practitioner - Clinical Social Worker 8426581620 Practice locations: Bloomington, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3800 American Blvd W
Suite 15008052
Bloomington, MN 55431-4420
Phone (612) 272-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20901MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Three Lakes Counseling Clinical CurrentSince Jun 4, 2023 Accepting new patients

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": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1841438009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W 96TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312408",
            "telephone_number": "612-272-0703",
            "fax_number": "612-435-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 15008052",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314420",
            "telephone_number": "612-272-0703",
            "fax_number": "612-435-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHYANI",
        "first_name": "RAMI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.