NPIMap

Organization Active NPI

Divide County Social Services

  • Social Worker
  • Crosby, ND
National Provider Identifier
1033522792
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
DIVIDE COUNTY SOCIAL SERVICES
Practice address
200 North Main Street
Crosby, ND 58730-0009
Phone
(701) 965-6521
Fax
(701) 965-6529
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Samantha PulvermacherNPI 1689082398
Title
County Director
Phone
(701) 965-6521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Social Worker 104100000X Primary
Foster Care Agency 253J00000X

Addresses

Primary practice location

200 North Main Street
Crosby, ND 58730-0009

Mailing address

PO Box 9
Crosby, ND 58730-0009
Phone (701) 965-6521

Other identifiers 2

IdentifierTypeStateIssuer
38812MedicaidND
50722MedicaidND

National Provider Directory

National Provider Directory

Locations

200 N Main St
Crosby, ND 58730
Phone (701) 965-6521

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1033522792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587300009",
            "telephone_number": "701-965-6521",
            "fax_number": "701-965-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH MAIN STREET",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587300009",
            "telephone_number": "701-965-6521",
            "fax_number": "701-965-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVIDE COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PULVERMACHER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "COUNTY DIRECTOR",
        "authorized_official_telephone_number": "701-965-6521"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38812",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50722",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.