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

Yussuf Shafie, MSWLICSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104276161

Yussuf Shafie, MSWLICSW, LADC is a Clinical Social Worker in Bloomington, Minnesota. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2016
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

8040 Old Cedar Ave S Ste 101
Bloomington, MN 55425-1211
Phone: (952) 992-9803
Fax: (952) 405-9723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104276161
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLICSW , LADC
Sole proprietorYes
NPI enumeratedJune 20, 2016
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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