Active NPI
Darnell M Eckert, LSW
- Social Worker
- Bismarck, ND
National Provider Identifier
1215159884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2772
- Practice address
- 1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1220 - Phone
- (701) 328-8884
- Fax
- (701) 328-8900
- NPI assigned
- May 3, 2007
- 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 | 2772 | ND | Primary |
Addresses
Primary practice location
1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1220
Mailing address
1237 W Divide Ave
Suite 5
Bismarck, ND 58501-1220
Phone (701) 328-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2772 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1215159884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 W DIVIDE AVE",
"address_2": "SUITE 5",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011220",
"telephone_number": "701-328-8884",
"fax_number": "701-328-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 W DIVIDE AVE",
"address_2": "SUITE 5",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011220",
"telephone_number": "701-328-8884",
"fax_number": "701-328-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "DARNELL",
"middle_name": "M",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "2772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.