Amanda Havelange
Individual provider Active NPI Social Worker · Grand Forks, ND
NPI 1124677406 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1124677406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 5740 (ND)
- Practice address
- 151 S 4TH St Ste 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Central Human Service Center
West Central Human Service Center
Badlands Human Service Center
Northeast Human Service Center
Lake Region Human Service Center
Northwest Human Service Center
South Central Human Service Center
Practice addresses (Care Compare)
1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone (701) 857-8500
1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1208
Phone (701) 328-8888
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone (701) 227-7500
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
200 Hwy 2 W
Devils Lake, ND 58301-3532
Phone (701) 665-2200
316 2ND Ave W
Williston, ND 58801-5218
Phone (701) 774-4600
520 3Rd St NW
Jamestown, ND 58401-2968
Phone (701) 253-6300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230522003152 | ND | Practitioner - Clinical Social Worker | 9436515178 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Lake Region Behavioral Health Clinic | Current |
Accepting new patients | |
| West Central Behavioral Health Clinic | Current |
Accepting new patients | |
| South Central Behavioral Health Clinic | Current |
Accepting new patients | |
| North Central Behavioral Health Clinic | Current |
Accepting new patients | |
| Northeast Human Service Center | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Current |
Accepting new patients | |
| Southeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Northwest Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Past |
Accepting new patients |
Locations
1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300
1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500
316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5740 | ND | Yes |
Addresses
Primary practice location
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Mailing address
2624 9TH Ave S
Fargo, ND 58103-2350
Phone (701) 298-4500
Other providers in Grand Forks, ND
- Brenda M Haugen
- Erin Nicole Jackson Haugen
- Jennifer Marie Haugen
- Jessica Haugen
- Brandon Haugrud
- Courtney Haviland
- Isabelle Hawkins
- Jennifer Hayes
- Kirk Jacquine Hayes
- Melissa Jeannette Hayes
All providers in Grand Forks, ND · Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.