Eugene Nicholas Cimarosti, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4627 Issued in ND

Practice address

418 E Broadway Ave
Suite 25
Bismarck, ND 58501-4086

Phone

(701) 551-6394

NPI assigned

Oct 1, 2013

Last updated

Oct 1, 2013By the provider in NPPES

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decoteau Trauma-Informed Care and Practice PLLCGroup PAC ID 7911258025, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Decoteau Trauma-Informed Care & Practice, PLLC

  • Psychologist
  • Bismarck, ND
  • NPI 1174890016
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1427485812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY AVE",
            "address_2": "SUITE 25",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014086",
            "telephone_number": "701-551-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY AVE",
            "address_2": "SUITE 25",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014086",
            "telephone_number": "701-551-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMAROSTI",
        "first_name": "EUGENE",
        "middle_name": "NICHOLAS",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Churchill Pharmacy Holding Inc.
• Daniel Moore Churchill, PHARM.D.
• Patricia M Churchill, R PH
• Spencer Churchill, PT
• Stephen Paul Churchill, PT/APT
• City of Bismarck
• City of Bismarck
• Morgan Clagett, OTR/L
• Lisa J Clairmont, FNP
• Tyler Charles Clairmont

• Social Worker in Bismarck, ND
• Providers in Bismarck, 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 Oct 1, 2013; 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.