Shera Jean Brandvold, LICENSED SOCIAL WORK
Individual provider Active NPI Social Worker · Devils Lake, ND
NPI 1346404530 · NPPES record last updated Jul 16, 2008
Key facts
- NPI
- 1346404530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 3702 (ND)
- Practice address
- 420 4TH Ave NE
Devils Lake, ND 58301-2418 - Phone
- (701) 662-4913
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3702 | ND | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3702 | ND | Yes |
Addresses
Primary practice location
420 4TH Ave NE
Devils Lake, ND 58301-2418
Mailing address
420 4TH Ave NE
Devils Lake, ND 58301-2418
Phone (701) 662-4913
Other providers in Devils Lake, ND
- Jacie Boe
- Erinpatricia Flaherty Bommersbach
- Abby Kathryn Borchardt
- Samantha Bounds
- Patricia J Bradley
- Channing Braun
- Tesha Lynn Brehm
- Brekhus Wellness, PLLC
- Madisyn Lou Brekke I
- Brenna Joy Dietitian, LLC
All providers in Devils Lake, ND · 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 Jul 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.