Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fatima Sufi, SYSTEMADMINISTRATOR

Individual provider Clinical Social Worker · NPI 1861192353

Fatima Sufi, SYSTEMADMINISTRATOR is a Clinical Social Worker in Chaska, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2023
Specialties on file
8
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Practice location Address checks out

1107 Hazeltine Blvd Ste 484
Chaska, MN 55318-1065
Phone: (612) 446-5480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X · Licence 411159 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 411159 (MN)
Dentist Taxonomy 122300000X · Licence 411159 (MN)
Nursing Care Agency Taxonomy 251J00000X · Licence 411159 (MN)
Foster Care Agency Taxonomy 253J00000X · Licence 411159 (MN)
Clinic/Center Taxonomy 261Q00000X · Licence 411159 (MN)
Recovery Care Clinic/Center Taxonomy 261QR0800X · Licence 411159 (MN)
Assisted Living Facility Taxonomy 310400000X · Licence 411159 (MN)

Record details

NPI number1861192353
Entity typeIndividual (Type 1)
GenderFemale
Credentials SYSTEMADMINISTRATOR
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address1107 Hazeltine Blvd Ste 484, Chaska, MN 55318-1065

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