Baird Wayne Sundeen, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2081 Issued in ND

Practice address

1601 College Dr N
Devils Lake, ND 58301-1550

Phone

(701) 662-8393

NPI assigned

May 3, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Harmony House

  • Social Worker
  • Devils Lake, ND
  • NPI 1558976449
  NPD Authorized official
• Harmony House

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Devils Lake, ND
  • NPI 1225217300
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1396967865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 COLLEGE DR N",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583011550",
            "telephone_number": "701-662-8393",
            "fax_number": "701-775-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 COLLEGE DR N",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583011550",
            "telephone_number": "701-662-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDEEN",
        "first_name": "BAIRD",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-09-09",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAY TREATMENT PROGRAM",
            "identifier": "456001342",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joel Stevenson
• Christine Stiven, LSW
• Brianna Storing
• Luann J Stromme, DNP,FNP-C
• Julie Strong
• Jenie Sveningson
• Kimberly Sue Svidal, FNP-C
• Brenna Swanson, LRD
• Megan Rebecca Swenseth, LPCC
• Erin Lee Sykora, OT

• Social Worker in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.