Fatima Sufi is a Rehabilitation Clinic/Center based in Chaska, MN and is specialized in Rehabilitation. Fatima Sufi practices in Chaska, MN and has the professional credentials of SYSTEMADMINISTRATOR. The NPI Number for Fatima Sufi is 1861192353 and holds a License No. 411159 (Minnesota).
The current practice location address for Fatima Sufi is 1107 Hazeltine Blvd Ste 484, Chaska, MN and can be reached out via phone at 612-446-5480.
Location: 1107 Hazeltine Blvd Ste 484, Chaska, MN, 55318-1065
Provider Profile Details
NPI Number
1861192353
Provider Name
Fatima Sufi
Credential
SYSTEMADMINISTRATOR
Provider Entity Type
Individual
Gender
Female
Address
1107 Hazeltine Blvd Ste 484, Chaska, MN, 55318-1065
Phone Number
612-446-5480
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411159 | 01 | MN | MINNESOTA DEPARTMENT OF HEALTH |
Provider Business Practice Location Address Details
Address
1107 Hazeltine Blvd Ste 484
City
State
Zip
55318-1065
Phone Number
612-446-5480
Fax Number
Provider Business Mailing Address Details
Address
1107 Hazeltine Blvd Ste 484
City
State
Zip
55318-1065
Phone Number
612-446-5480
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
411159 (Minnesota)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
License No.
411159 (Minnesota)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
License No.
411159 (Minnesota)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Provider's Taxonomy Details 4
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
License No.
411159 (Minnesota)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
411159 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
License No.
411159 (Minnesota)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Recovery Care
Taxonomy
License No.
411159 (Minnesota)
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
411159 (Minnesota)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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