Tracy Anne Kressin, LICSW
Individual provider Active NPI Clinical Social Worker · Grand Forks, ND
NPI 1265922009 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1265922009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3392 (ND)
- Practice address
- 151 S 4TH St Ste 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- Fax
- (701) 795-3050
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2520 S Washington St
Unit C
Grand Forks, ND 58201-6777
Phone (218) 280-1250
529 Spruce LN
Crookston, MN 56716-1338
Phone (218) 280-1250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180606003108 | ND | Practitioner - Clinical Social Worker | 4385909688 | Reassigns benefits to 3 organizations |
| I20230117002957 | MN | Practitioner - Clinical Social Worker | 4385909688 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calming Waters Therapy PLLC | Clinical | Current |
Accepting new patients |
| Northeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Blended Pathways Therapy, PLLC | Clinical | Current |
Accepting new patients |
| Badlands Behavioral Health Clinic | Current |
Accepting new patients | |
| Northeast Human Service Center | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Past | Accepting new patients |
Locations
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
2520 S Washington St
Unit C
Grand Forks, ND 58201
Phone (218) 280-1250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3392 | ND | Yes |
Addresses
Primary practice location
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Mailing address
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
Other practice location 1
529 Spruce Ln
Crookston, MN 56716-1338
Phone (218) 280-1250
Other providers in Grand Forks, ND
- Casey Kramer
- Denise Carol Kramer
- Summer Kraska
- Natasha Marie Krebs
- Rebecca Rae Kreis
- Deanna June Krick
- Zachary Krieg
- Ashlynn Krieger
- Dawn Marie Kriewald
- Kayla Kringlen
All providers in Grand Forks, ND · Clinical 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 Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.