Katelyn Diane Antonsen, SWLC
Individual provider Active NPI Social Worker · Dickinson, ND
NPI 1376352419 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1376352419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6924 (ND)
- Practice address
- 1463 I94 Business Loop E
Dickinson, ND 58601-6434 - Phone
- (701) 227-7500
- Fax
- (701) 227-7575
- NPI assigned
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 6924 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badlands Behavioral Health Clinic | Current |
Accepting new patients | |
| Eastern Montana Community Mental Health Center | Clinical | Past |
Accepting new patients |
| Badlands Behavioral Health Clinic | Past |
Accepting new patients |
Locations
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
300 13th Ave W
Ste 1
Dickinson, ND 58601
Phone (701) 227-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Specialist | 174400000X | |||
| Social Worker | 104100000X | 6924 | ND | Yes |
Addresses
Primary practice location
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Mailing address
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone (701) 227-7500
Other providers in Dickinson, ND
- Nicole L Anderson
- Patricia W Anderson
- Rose Anderson
- Suzy Anderson
- Tamala M Anderson
- Holli Archuletta
- Ross M Argent
- Crystal Lynn Armbrust
- Thomas F Arnold
- Bukola Arogundade
All providers in Dickinson, 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 May 1, 2025. 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.