Nicodemus Therapeutic Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NICODEMUS THERAPEUTIC SERVICES PLLC

Practice address

525 31St Ave SW
Minot, ND 58701-7036

Phone

(701) 355-6800

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Scott Starks, LCSW

Title

Therapist

Phone

(701) 500-5430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1063113108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 31ST AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017036",
            "telephone_number": "701-500-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 31ST AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017036",
            "telephone_number": "701-355-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICODEMUS THERAPEUTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "701-500-5430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Snyder Newsome, MD
• Clara Newswanger
• Julius Kariuki Ngaile, M.D.
• Madison Jeanne Nichols
• Bahram Nico, M.D.
• Paul Vincent Nies
• Suzanne Nigro, PA
• Ashley Eileen Nilsen
• Amber Lynn Nix
• Chinyere Njoku, MD

• Clinical Social Worker in Minot, ND
• Providers in Minot, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.