Active NPI
Abdimanan Mohamed Hirsi Sr.
- Social Worker
- Minneapolis, MN
National Provider Identifier
1992568752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- H6200139809407
- Practice address
- 925 30TH Ave S Apt 305
Minneapolis, MN 55406-1159 - Phone
- (763) 496-8725
- NPI assigned
- Feb 5, 2024
- 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 | H6200139809407 | WI | Primary |
Addresses
Primary practice location
925 30TH Ave S Apt 305
Minneapolis, MN 55406-1159
Mailing address
925 30TH Ave S Apt 305
Minneapolis, MN 55406-1159
Phone (763) 496-8725
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 |
|---|---|---|---|
| H6200139809407 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopehousingcarellc | Current | 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.
-
- Home Health Agency
- Minneapolis, MN
- NPI 1346003191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1992568752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 30TH AVE S APT 305",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061159",
"telephone_number": "763-496-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 30TH AVE S APT 305",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061159",
"telephone_number": "763-496-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSI",
"first_name": "ABDIMANAN",
"middle_name": "MOHAMED",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "H6200139809407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.