Organization Active NPI

Deere Wellness LLC

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1174474506
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEERE WELLNESS LLC
Practice address
3001 32ND Ave S Ste E
Grand Forks, ND 58201-6021
Phone
(218) 988-0062
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Kylie Deere, LCSWNPI 1447943485
Title
Owner
Phone
(218) 988-0062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3001 32ND Ave S Ste E
Grand Forks, ND 58201-6021

Mailing address

3001A 32ND Ave S Ste 3a
Grand Forks, ND 58201-6067
Phone (701) 757-0743

National Provider Directory

National Provider Directory

Locations

3001A 32nd Ave S
Ste 3A
Grand Forks, ND 58201
Phone (701) 757-0743

3001 32nd Ave S
Ste E
Grand Forks, ND 58201
Phone (218) 988-0062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1174474506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001A 32ND AVE S STE 3A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016067",
            "telephone_number": "701-757-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 32ND AVE S STE E",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016021",
            "telephone_number": "218-988-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "DEERE",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-988-0062",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.