Individual provider Active NPI

Abdimanan Mohamed Hirsi Sr.

  • Social Worker
  • Minneapolis, MN
National Provider Identifier
1992568752
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
H6200139809407 Issued in WI
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

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
H6200139809407WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehousingcarellc CurrentSince Feb 11, 2024 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": "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.

Verify at the official NPI Registry.