Nancy Conlee
Individual provider Active NPI Social Worker · Minot, ND
NPI 1043635154 · NPPES record last updated Feb 26, 2014
Key facts
- NPI
- 1043635154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 3904 (ND)
- Practice address
- 400 22ND Ave NW
Minot, ND 58703-1071 - Phone
- (701) 852-3552
- NPI assigned
- Feb 26, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3904 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ward County | Social Worker | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3904 | ND | Yes |
Addresses
Primary practice location
400 22ND Ave NW
Minot, ND 58703-1071
Mailing address
400 22ND Ave NW
Minot, ND 58703-1071
Phone (701) 852-3552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79250 | Medicaid | ND |
Other providers in Minot, ND
- Community Ambulance Service of Minot, Inc.
- Community Medical Services Montana-Private, LLC
- Community Medical Services Montana-Private, LLC
- Community Medical Services Montana-Private, LLC
- Rosaura Conklin
- Amber Cooke
- Shalyn Marie Coombs
- Nathaniel James Cooper
- Lacey D Corneliusen
- Cornerstone Caregiving East LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 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.