MEDICARE: KASIM ABDURRAZZAQ MSW LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	19934	MN

General Provider Information

NPI Number	:	1154744001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASIM ABDURRAZZAQ MSW LICSW

Provider Business Mailing Address
First Line	:	1437 MARSHALL AVE
Second Line	:	SUITE 102
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-6350
Country	:	US
Telephone Number	:	651-329-6171
Fax Number	:	651-340-9266

Provider Business Practice Location Address
First Line	:	1041 SELBY AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-6535
Country	:	US
Telephone Number	:	612-813-5034
Fax Number	:	651-925-0044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2014
Last Update Date	:	08/12/2016

Similar Medicare Providers

1942471370 — AFRICAN AMERICAN FAMILY SERVICES
Practice Location Address:

1041 SELBY AVE
SAINT PAUL, MN
55104-6535

Practice Phone: 612-871-7878
Practice Fax:

1609043124 — AFRICAN AMERICAN FAMILY SERVICES
Practice Location Address:

1041 SELBY AVE
SAINT PAUL, MN
55104-6535

Practice Phone: 651-642-0021
Practice Fax: 651-642-0043

1104593672 — EXTENDED COMFORT CARE LLC
Practice Location Address:

6535 JESSE JACKSON AVE
SAINT LOUIS, MO
63121-5706

Practice Phone: 314-224-1293
Practice Fax:

1063375905 — LEONA L VANN LICSW
Practice Location Address:

1600 UNIVERSITY AVE W STE 12
SAINT PAUL, MN
55104-3952

Practice Phone: 651-379-5157
Practice Fax:

1073492237 — CHRISTIAN WOLFE PLLC
Practice Location Address:

1595 SELBY AVE STE 105
SAINT PAUL, MN
55104-6285

Practice Phone: 651-321-1030
Practice Fax:

1255295333 — SALINA RENNINGER, LLC
Practice Location Address:

475 CLEVELAND AVE N STE 200
SAINT PAUL, MN
55104-5053

Practice Phone: 651-285-8378
Practice Fax: 651-377-4346

Directions to “ KASIM ABDURRAZZAQ MSW LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.