Organization
COMMUNITYWISE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIGANI ABDIRAHMAN AHMED LICSW (EXECUTIVE DIRECTOR)
(320) 281-3037
Entity
Organization
Contact information
Practice address
3339 W SAINT GERMAIN ST STE 250E, SAINT CLOUD, MN 56301-7345
(320) 281-3037
(320) 295-7862
Mailing address
3339 W SAINT GERMAIN ST STE 250E, SAINT CLOUD, MN 56301-7345
(320) 281-3037
(320) 295-7862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376151837
—
MN
Enumeration date
07/26/2021
Last updated
11/02/2025
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