Provider Demographics
NPI:1174193155
Name:HUSEIN, HALIMO (LICSW)
Entity Type:Individual
Prefix:
First Name:HALIMO
Middle Name:
Last Name:HUSEIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15336 FOUNDERS LN
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6065
Mailing Address - Country:US
Mailing Address - Phone:952-212-7878
Mailing Address - Fax:
Practice Address - Street 1:13754 FRONTIER CT STE 108
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6733
Practice Address - Country:US
Practice Address - Phone:952-255-6997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN245061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical