Provider Demographics
NPI:1346716073
Name:ALI, NAIMO
Entity Type:Individual
Prefix:
First Name:NAIMO
Middle Name:
Last Name:ALI
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 1:8200 HUMBOLDT AVE S STE 217
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1432
Mailing Address - Country:US
Mailing Address - Phone:952-888-7055
Mailing Address - Fax:612-605-3312
Practice Address - Street 1:8200 HUMBOLDT AVE S STE 217
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55431-1432
Practice Address - Country:US
Practice Address - Phone:952-888-7055
Practice Address - Fax:612-605-3312
Is Sole Proprietor?:No
Enumeration Date:2018-10-20
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health