YUSSUF SHAFIE MSW LICSW LADC NPI 1104276161

NPI Information

Yussuf Shafie, MSW LICSW, LADC is an addiction (substance use disorder) counselor in Bloomington, MN. Yussuf Shafie, MSW LICSW, LADC NPI is 1104276161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8040 OLD CEDAR AVE S STE 101
BLOOMINGTON, MN
ZIP 55425-211
Phone: (952) 992-9803
Fax: (952) 405-9723

The NPI 1104276161 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 7/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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