Divide County Social Services
Organization Active NPI Social Worker · Crosby, ND
NPI 1033522792 · NPPES record last updated Jun 10, 2014
Key facts
- NPI
- 1033522792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 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
- Organization subpart
- No
Authorized official
- Name
- Samantha Pulvermacher
- Title
- County Director
- Phone
- (701) 965-6521
Practitioners 3
-
Skye Eileen Wyrick, LCSW
National Provider Directory
Locations
200 N Main St
Crosby, ND 58730
Phone (701) 965-6521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes | ||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38812 | Medicaid | ND | |
| 50722 | Medicaid | ND |
Other providers in Crosby, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.