Individual provider Active NPI

Avery Price

  • Social Worker
  • Grand Forks, ND
National Provider Identifier
1265279814
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8708 Issued in CT
Practice address
3674 S Washington St
Grand Forks, ND 58201-5766
Phone
(701) 205-3000
Fax
(701) 732-2501
NPI assigned
Jul 11, 2024
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 8708 CT Primary

Addresses

Primary practice location

3674 S Washington St
Grand Forks, ND 58201-5766

Mailing address

PO Box 3822
Woodbridge, CT 06525-0822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3380 C St
Suite 107
Anchorage, AK 99503-3949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8708CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Clinics, LLC CurrentSince Feb 3, 2018 Accepting new patients
Lake Country Associates, Inc. PastSince Mar 15, 2010 Accepting new patients
Southwestern Dist Health Unit Past Accepting new patients

Locations

123 3rd Ave E
Ste 300
Alexandria, MN 56308

700 Cedar St
Ste 228
Alexandria, MN 56308
Phone (320) 762-3935

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612

205 Roosevelt Ave W
Karlstad, MN 56732
Phone (218) 436-2251

515 Bridge St
Park Rapids, MN 56470
Phone (218) 252-0066

424 S 3rd St
Ste 1
Bismarck, ND 58504

528 21st St W
Dickinson, ND 58601
Phone (701) 483-0171

4501 15th Ave SW
Ste 105
Fargo, ND 58103

3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538

4700 S Washington St
Ste G
Grand Forks, ND 58201
Phone (701) 732-2506

1408 20th Ave SW
Ste 5
Minot, ND 58701

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1265279814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3822",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065250822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015766",
            "telephone_number": "701-205-3000",
            "fax_number": "701-732-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "8708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.