Active NPI
Habiba Maxamud Sagal-Ciise
- Social Worker
- Rochester, MN
National Provider Identifier
1992414163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1225 20TH St SE Apt 305
Rochester, MN 55904-6501 - Phone
- (507) 517-9887
- NPI assigned
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1225 20TH St SE Apt 305
Rochester, MN 55904-6501
Mailing address
1225 20TH St SE Apt 305
Rochester, MN 55904-6501
Phone (507) 517-9887
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1992414163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 20TH ST SE APT 305",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046501",
"telephone_number": "507-517-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 20TH ST SE APT 305",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046501",
"telephone_number": "507-517-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGAL-CIISE",
"first_name": "HABIBA",
"middle_name": "MAXAMUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.