Provider Demographics
NPI:1073338026
Name:WARSAME, HALIMO HASSAN
Entity type:Individual
Prefix:
First Name:HALIMO
Middle Name:HASSAN
Last Name:WARSAME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 ROUNDHOUSE ST
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-4334
Mailing Address - Country:US
Mailing Address - Phone:507-995-1421
Mailing Address - Fax:
Practice Address - Street 1:805 ROUNDHOUSE ST
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-4334
Practice Address - Country:US
Practice Address - Phone:507-995-1421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical