Active NPI
Nimo Ali,, MSW, LICSW
- Clinical Social Worker
- Apple Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28905
- Practice address
- 15322 Galaxie Ave Ste 203C
Apple Valley, MN 55124-3152 - Phone
- (612) 458-5083
- Fax
- (612) 354-8387
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28905 | MN | Primary |
Addresses
Primary practice location
15322 Galaxie Ave Ste 203C
Apple Valley, MN 55124-3152
Mailing address
4470 W 78TH Street Cir Ste 200
Bloomington, MN 55435-5419
Phone (612) 458-5083
Other practice location 1
525 Portland Ave
Minneapolis, MN 55415-1533
Phone (612) 596-1223
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230710002358 | MN | Practitioner - Clinical Social Worker | 6800255738 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28905 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Behavioral Solutions, LLC | Clinical | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
15322 Galaxie Ave
Ste 203C
Apple Valley, MN 55124
Phone (612) 458-5083
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
7635 148th St W
Saint Paul, MN 55124
Phone (651) 308-9147
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
2700 Snelling Ave N
Ste 400
Saint Paul, MN 55113
Phone (651) 697-5804
2 2nd Ave S
Ste 35
Sauk Rapids, MN 56379
Phone (612) 483-4153
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, MN
- NPI 1013619972
Clinical
-
- Eyewear Supplier
- Eagan, MN
- NPI 1750833562
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1922700657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 W 78TH STREET CIR STE 200",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554355419",
"telephone_number": "612-458-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15322 GALAXIE AVE STE 203C",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551243152",
"telephone_number": "612-458-5083",
"fax_number": "612-354-8387"
}
],
"practiceLocations": [
{
"address_1": "525 Portland Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151533",
"country_code": "US",
"telephone_number": "612-596-1223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI,",
"first_name": "NIMO",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "28905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.