Heather Lee Boxrud, LMSW
Individual provider Active NPI Social Worker · Dickinson, ND
NPI 1194366575 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1194366575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6618 (ND)
- Practice address
- 1463 I94 Business Loop E
Dickinson, ND 58601-6434 - Phone
- (701) 227-7500
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6618 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badlands Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Past |
Accepting new patients | |
| Behavior Management Systems, Inc. | Past |
Accepting new patients |
Locations
300 13th Ave W
Ste 1
Dickinson, ND 58601
Phone (701) 227-7500
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 6618 | ND | Yes |
Addresses
Primary practice location
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Mailing address
205 13TH St S
Hettinger, ND 58639-7526
Phone (701) 928-0594
Other providers in Dickinson, ND
- Tonya Boltz
- Travis Booke
- Renee L. Boomgaarden
- Preston Borsheim
- Melinda A Borts
- Kerry D Brady
- Annette Katherine Branson
- Maureen Anne Bratten
- Mary Ann E Brauhn
- Emerald Braun
All providers in Dickinson, ND · Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.