Individual provider · NPI-1

Deqo Mohamed Ahmed, MSW, LICSW

Social Worker, Clinical · Eden Prairie, MN

NPI number1336867399
StatusActive
Last updated in NPPESJan 6, 2026

Details

NPI
1336867399
Entity type
Individual (NPI-1)
Name
Deqo Mohamed Ahmed
Credential
MSW, LICSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2022
Certification date
Jan 6, 2026
Last updated
Jan 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical26109MNYes

Practice location

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801

Phone 952-746-2522

Mailing address

5275 Edina Industrial Blvd Ste 228
Edina, MN 55439-2920

Phone 952-688-6792

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