Active NPI
Tiffany Severson, MSW
- Social Worker
- Grand Forks, ND
National Provider Identifier
1144017922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5236
- Practice address
- 3940 S 15TH St Apt 405
Grand Forks, ND 58201-5756 - Phone
- (701) 360-1520
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5236 | ND | Primary |
Addresses
Primary practice location
3940 S 15TH St Apt 405
Grand Forks, ND 58201-5756
Mailing address
3940 S 15TH St Apt 405
Grand Forks, ND 58201-5756
Phone (701) 360-1520
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 |
|---|---|---|---|
| 5236 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1144017922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 S 15TH ST APT 405",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015756",
"telephone_number": "701-360-1520",
"fax_number": "701-360-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 S 15TH ST APT 405",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015756",
"telephone_number": "701-360-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERSON",
"first_name": "TIFFANY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "5236",
"primary": true
}
],
"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 Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.