Michael A Haukaas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

520 3Rd St NW
Jamestown, ND 58401-2968

Phone

(701) 253-6300

Fax

(701) 253-6308

NPI assigned

Dec 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Human Service CenterGroup PAC ID 2365420262, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• South Central Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, ND
  • NPI 1225075906
  Medicare reassignment Care Compare group NPD
• South Central Human Service Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jamestown, ND
  • NPI 1093542391
  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1356857973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2055",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584022055",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012968",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUKAAS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Hart, LICSW
• Jack K Hartley
• Lynda Harvey, CRNA
• Kimber Hasbargen, LAC
• Jodi L Haugland, LSW
• Healing Hands Chrisitian Counseling, PLLC
• Health & Care Management, LTD
• Grace Elizabeth Hegerle
• Heidi H. Heim, D.C.
• Nicole Heinle

• Clinical Social Worker in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.