Active NPI
Abdi Ali, LGSW
- Social Worker
- Golden Valley, MN
National Provider Identifier
1902345028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24083
- Practice address
- 8421 Wayzata Blvd Ste 180
Golden Valley, MN 55426-1352 - Phone
- (763) 205-5424
- NPI assigned
- Feb 22, 2017
- 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 | 24083 | MN | Primary |
Addresses
Primary practice location
8421 Wayzata Blvd Ste 180
Golden Valley, MN 55426-1352
Mailing address
615 W 102ND St
Bloomington, MN 55420-5261
Phone (612) 940-5026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24083 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rimal | Current | Accepting new patients | |
| Autism Partners Inc | Current | Accepting new patients | |
| Center for Multicultural Mediation | Current | Accepting new patients | |
| Medway Support Services. LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Early Intervention Provider Agency
- Saint Cloud, MN
- NPI 1053815969
-
- Case Management Agency
- Minneapolis, MN
- NPI 1225715915
-
- Case Management Agency
- Minneapolis, MN
- NPI 1558077446
-
dba Medway
- Health Maintenance Organization
- Golden Valley, MN
- NPI 1912397217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1902345028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W 102ND ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554205261",
"telephone_number": "612-940-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8421 WAYZATA BLVD STE 180",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261352",
"telephone_number": "763-205-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "ABDI",
"name_prefix": "Mr.",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "24083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.