Kenneth J Scheller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6226 Issued in ND

Practice address

5201 Bishops Blvd S Ste B
Fargo, ND 58104-7605

Phone

(812) 454-4954

NPI assigned

Sep 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities North Dakota

  • Voluntary or Charitable Agency
  • Fargo, ND
  • NPI 1619927290
  Medicare reassignment NPD

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1194193623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 PRAIRIEWOOD DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034625",
            "telephone_number": "812-454-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BISHOPS BLVD S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047605",
            "telephone_number": "812-454-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLER",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006131A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scheels All Sports, Inc.
• Kara Scheer, RN
• Kaira Schefter, MS, CRNA
• Meghan Marie Scheibe, M.D.
• Barbara Ann Schellenberg, D.C.
• Jason M Schenck, MD
• Jonathan Scherbenske, PT/DPT
• Annah Scherling, RBT
• Hannah C Schiefelbein, APRN, CNP
• Emily Nicole Schiele, LBSW

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.