Deborah A Tank

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3833 Issued in ND

Practice address

205 15TH St N
Ellendale, ND 58436-7600

Phone

(701) 349-3271

Fax

(701) 349-3277

NPI assigned

May 7, 2014

Last updated

May 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Dickey

  dba Dickey County Health District

  • Public Health or Welfare Agency
  • Ellendale, ND
  • NPI 1063613438
  NPD (past)
• Dickey County Social Service

  • Public Health or Welfare Agency
  • Ellendale, ND
  • NPI 1285044503
  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1205246543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "address_2": "205 15TH ST. N",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584360279",
            "telephone_number": "701-349-3271",
            "fax_number": "701-349-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 15TH ST N",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584367600",
            "telephone_number": "701-349-3271",
            "fax_number": "701-349-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANK",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3833",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "3833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079474",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ritter, LICSW
• Sanford Medical Center Fargo (Sanford Ellendale Clinic)
• Lana R. Schlecht, DDS
• Eric Slivoskey
• Southeast Therapy Services Inc
• Connie Teske
• Thomas Ulmer (Ellendale Pharmacy)
• Jeffrey Ulmer, PHARM. D.
• Thomas L. Ulmer
• Kristine Zantow, LSW

• Social Worker in Ellendale, ND
• Providers in Ellendale, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.