Sara Beth Fries, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5295 Issued in ND

Practice address

3111 E Broadway Ave
Bismarck, ND 58501-5085

Phone

(701) 334-6242

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Beth Pavilionis Former name

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Counseling IncGroup PAC ID 1153603162, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Summit Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williston, ND
  • NPI 1427593698

  Social Worker

  Medicare reassignment Care Compare group NPD
• Charles Hall Youth Services Inc.

  • Voluntary or Charitable Agency
  • Bismarck, ND
  • NPI 1720293301
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1093261968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015085",
            "telephone_number": "701-751-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015085",
            "telephone_number": "701-334-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 E Bismarck Expy",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585046578",
            "country_code": "US",
            "telephone_number": "701-255-2773",
            "fax_number": "701-255-6261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3911 20th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034705",
            "country_code": "US",
            "telephone_number": "701-235-7341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIES",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5295",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PAVILIONIS",
            "middle_name": "BETH",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Fridley
• Elizabeth Fridrich, PA-C
• Denise Eileen Fried, PA-C
• Rachel Katherine Friedl
• Jess Friedt
• Lori Friesz, LAC
• Gregory William Fritz, RPH
• Joy Ann Froelich, MD
• Lacey Ann Froelich, DPT
• William J Froelich, LAC

• Clinical Social Worker in Bismarck, ND
• Providers in Bismarck, 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 Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.