Individual provider Active NPI

Keri Milas, LSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1326474065
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356
Phone
(701) 280-9545
Fax
(701) 451-9473
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3770 ND
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356

Mailing address

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356
Phone (701) 280-9545

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
I20230309002825 ND Practitioner - Clinical Social Worker 5395118400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3770NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Emotional Spiritual & Mental Health LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

418 E Broadway Ave
Ste 7
Bismarck, ND 58501
Phone (701) 380-5100

Organizations & group practices 2

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1326474065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WESTRAC DR S STE 400",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032356",
            "telephone_number": "701-280-9545",
            "fax_number": "701-451-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WESTRAC DR S STE 400",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032356",
            "telephone_number": "701-280-9545",
            "fax_number": "701-451-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAS",
        "first_name": "KERI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3770",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.