Provider Demographics
NPI:1093388761
Name:SHEIKH, IBRAHIM SALAH (LGSW, MSW)
Entity type:Individual
Prefix:
First Name:IBRAHIM
Middle Name:SALAH
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:LGSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 7TH PL E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2148
Mailing Address - Country:US
Mailing Address - Phone:651-266-2357
Mailing Address - Fax:651-266-2687
Practice Address - Street 1:977 5TH ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-5231
Practice Address - Country:US
Practice Address - Phone:920-664-2319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31671104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker