Active NPI
Debbie Ann Oberg, LICSW, CDMS
- Social Worker
- Grand Forks, ND
National Provider Identifier
1164512265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2977
- Practice address
- 3535 S 31St St Ste 201
Grand Forks, ND 58201-3593 - Phone
- (701) 780-6821
- Fax
- (701) 780-1973
- NPI assigned
- Oct 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2977 | ND | Primary |
Addresses
Primary practice location
3535 S 31St St Ste 201
Grand Forks, ND 58201-3593
Mailing address
2217 9TH St SE
East Grand Forks, MN 56721-3008
Phone (701) 795-3099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131014000881 | ND | Practitioner - Clinical Social Worker | 0941434567 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 S 31St St
Suite 201
Grand Forks, ND 58201-3593
Phone (701) 780-6821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2977 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assessment and Therapy Associates of Grand Forks, PLLC | Current | Accepting new patients |
Locations
3535 S 31st St
Ste 201
Grand Forks, ND 58201
Phone (701) 780-6821
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Grand Forks, ND
- NPI 1437181591
ND
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1164512265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 9TH ST SE",
"city": "EAST GRAND FORKS",
"state": "MN",
"postal_code": "567213008",
"telephone_number": "701-795-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S 31ST ST STE 201",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582013593",
"telephone_number": "701-780-6821",
"fax_number": "701-780-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERG",
"first_name": "DEBBIE",
"middle_name": "ANN",
"credential": "LICSW, CDMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "2977",
"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 Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.