Individual provider Active NPI

Casey Berberich, LMSW

  • Social Worker
  • Grand Forks, ND
National Provider Identifier
1225890338
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6068 Issued in ND
Practice address
212 S 4TH St
Grand Forks, ND 58201-4777
Phone
(701) 757-2100
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6068 ND Primary

Addresses

Primary practice location

212 S 4TH St
Grand Forks, ND 58201-4777

Mailing address

212 S 4TH St
Grand Forks, ND 58201-4777
Phone (701) 757-2100

Other practice location 1

4324 University Ave Ste B
Grand Forks, ND 58203-1938
Phone (701) 746-4584

Other names 1

  • Casey Breen Redfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260622003236 ND Practitioner - Clinical Social Worker 9537632567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2701 12TH Ave S
Fargo, ND 58103-8753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6068NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Health CurrentSince Jan 28, 2024 Accepting new patients
Village Family Service Center PastSince Apr 20, 2026 Accepting new patients
Village Family Service Center Social Worker PastSince Apr 20, 2026 Accepting new patients

Locations

212 S 4th St
Grand Forks, ND 58201
Phone (701) 757-2100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1225890338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014777",
            "telephone_number": "701-757-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 4TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014777",
            "telephone_number": "701-757-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4324 University Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582031938",
            "country_code": "US",
            "telephone_number": "701-746-4584",
            "fax_number": "651-925-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBERICH",
        "first_name": "CASEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "6068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "REDFIELD",
            "middle_name": "BREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.