Active NPI
Sargent County Social Services
- Case Management Agency
- Forman, ND
National Provider Identifier
1134536360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 4858
- Legal business name
- SARGENT COUNTY SOCIAL SERVICES
- Practice address
- 355 Main St S
Suite #7
Forman, ND 58032-4149 - Phone
- (701) 724-6241
- Fax
- (701) 724-3323
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wendy Jacobson
- Title
- Director
- Phone
- (701) 724-6241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 4858 | ND | Primary |
Addresses
Primary practice location
355 Main St S
Suite #7
Forman, ND 58032-4149
Mailing address
355 Main St S
Suite #7
Forman, ND 58032-4149
Phone (701) 724-6241
National Provider Directory
National Provider Directory- Tax ID family
- Sargent County Social Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Forman, ND
- NPI 1255469631
Locations
355 Main St S
Ste 7
Forman, ND 58032
Phone (701) 724-6241
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Forman, ND
- NPI 1750799235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406592000000",
"number": "1134536360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 MAIN ST S",
"address_2": "SUITE #7",
"city": "FORMAN",
"state": "ND",
"postal_code": "580324149",
"telephone_number": "701-724-6241",
"fax_number": "701-724-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 MAIN ST S",
"address_2": "SUITE #7",
"city": "FORMAN",
"state": "ND",
"postal_code": "580324149",
"telephone_number": "701-724-6241",
"fax_number": "701-724-3323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARGENT COUNTY SOCIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-29",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "701-724-6241",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "ND",
"license": "4858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forman, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.