Individual provider Active NPI

Alex Roeder, LCSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1326437385
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4250 Issued in ND
Practice address
3285 Fiechtner Dr S Ste B
Fargo, ND 58103-2490
Phone
(701) 361-8273
Fax
(701) 301-8205
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4250 ND Primary

Addresses

Primary practice location

3285 Fiechtner Dr S Ste B
Fargo, ND 58103-2490

Mailing address

3285 Fiechtner Dr S Ste B
Fargo, ND 58103-2490
Phone (701) 361-8273

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
I20250624004153 ND Practitioner - Clinical Social Worker 0244742351 Practice locations: Fargo, ND

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4250NDMDNutrition Support Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Behavioral Health Clinical CurrentSince May 1, 2025 Accepting new patients

Locations

3285 Fiechtner Dr S
Ste B
Fargo, ND 58103
Phone (701) 361-8273

Organizations & group practices 1

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1326437385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 FIECHTNER DR S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032490",
            "telephone_number": "701-361-8273",
            "fax_number": "701-301-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 FIECHTNER DR S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032490",
            "telephone_number": "701-361-8273",
            "fax_number": "701-301-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "ALEX",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.