Amy Haugen, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4108 Issued in ND

Practice address

511 2ND St W Ste B
Williston, ND 58801-5907

Phone

(701) 580-7675

NPI assigned

May 15, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Williams County Social Services

  • Case Manager/Care Coordinator
  • Williston, ND
  • NPI 1093213464
  NPD (past)
• Williams County Social Services

  • Case Management Agency
  • Williston, ND
  • NPI 1578980272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1023429792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 2ND ST W STE B",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015907",
            "telephone_number": "701-580-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 2ND ST W STE B",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015907",
            "telephone_number": "701-580-7675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Broadway Ste 202",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "ND",
            "postal_code": "588016056",
            "country_code": "US",
            "telephone_number": "701-774-6300 x325",
            "fax_number": "701-572-9794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "4108",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79333",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia A Hass, LMSW
• Darian Haug, LAC
• Martin John Haug, DPT
• Vicki Hauge
• Lynn R Haugeberg
• April Haugrose, NP
• Kelvin Hazangwi
• Healing Hearts Therapy, LLC
• Health Source of Williston P.C.
• Kevin Cory Heath

• Social Worker in Williston, ND
• Providers in Williston, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.