Active NPI
Brandee Mertz, LMSW
- Social Worker
- Bismarck, ND
National Provider Identifier
1093427031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6381
- Practice address
- 1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208 - Phone
- (701) 328-8888
- Fax
- (701) 328-8900
- NPI assigned
- Dec 21, 2022
- Last updated
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6381 | ND | |
| Social Worker | 104100000X | 6381 | ND | Primary |
Addresses
Primary practice location
1237 W Divide Ave Ste 5
Bismarck, ND 58501-1208
Mailing address
3906 England St
Bismarck, ND 58504-8969
Phone (701) 390-0202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6381 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Therapy With Brandee, PLLC | Current | Accepting new patients |
Locations
523 N 4th St
Bismarck, ND 58501
Phone (701) 255-3692
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Bismarck, ND
- NPI 1598658270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1093427031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 ENGLAND ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585048969",
"telephone_number": "701-390-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 W DIVIDE AVE STE 5",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011208",
"telephone_number": "701-328-8888",
"fax_number": "701-328-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTZ",
"first_name": "BRANDEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ND",
"license": "6381",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "6381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.