Individual provider Active NPI

Elisabeth Oldham, LCSW

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1083396956
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6052 Issued in ND
Practice address
1310 E Main Ave
Bismarck, ND 58501-4681
Phone
(701) 530-7195
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6052 ND Primary

Addresses

Primary practice location

1310 E Main Ave
Bismarck, ND 58501-4681

Mailing address

2000 Nagel Dr
Bismarck, ND 58501-1560
Phone (254) 715-5593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213000211 ND Practitioner - Clinical Social Worker 9830548064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6052NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Jan 1, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Jan 1, 2024 Accepting new patients
CHI Health Connect at Home-Fargo PastSince Aug 6, 2023 Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083396956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NAGEL DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011560",
            "telephone_number": "254-715-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014681",
            "telephone_number": "701-530-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "ELISABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-09-11",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.