NPIMap

Organization Active NPI

Woodnote Therapy PLLC

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1093479057
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WOODNOTE THERAPY PLLC
Practice address
1913 S Washington St
Grand Forks, ND 58201-6339
Phone
(701) 317-6590
NPI assigned
Oct 26, 2021
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Alexander Magelky
Title
Billing Consultant
Phone
(218) 329-2705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1913 S Washington St
Grand Forks, ND 58201-6339

Mailing address

1913 S Washington St Ste C
Grand Forks, ND 58201-6339
Phone (701) 757-1425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211217002108 ND Part B Supplier - Clinic/Group Practice 0042601429 Receives reassigned benefits from 6 practitioners
Practice locations: Grand Forks, ND

National Provider Directory

National Provider Directory

Locations

1913 S Washington St
Grand Forks, ND 58201
Phone (701) 317-6590

1913 S Washington St
Ste C
Grand Forks, ND 58201
Phone (701) 317-6590

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1093479057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 S WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016339",
            "telephone_number": "701-757-1425",
            "fax_number": "701-299-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016339",
            "telephone_number": "701-317-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODNOTE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "MAGELKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "BILLING CONSULTANT",
        "authorized_official_telephone_number": "218-329-2705"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.