Individual provider Active NPI

Sara Lynne Suda, LCSW

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1447603832
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5115 Issued in ND
Practice address
1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone
(701) 795-8550
NPI assigned
Jul 20, 2016
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5115 ND Primary

Addresses

Primary practice location

1615 17TH Ave S
Grand Forks, ND 58201-5372

Mailing address

1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone (701) 795-8550

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180122001958 ND Practitioner - Clinical Social Worker 6002175940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Christian Counseling Center IncGroup PAC ID 7719946904, 6 clinicians

Practice addresses (Care Compare)

1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone (701) 795-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5115NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Christian Counseling Center Inc CurrentSince Nov 1, 2018 Accepting new patients
Northeast Behavioral Health Clinic CurrentSince Nov 26, 2017 Accepting new patients
Northeast Human Service Center CurrentSince Nov 26, 2017 Accepting new patients

Locations

151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000

1615 17th Ave S
Grand Forks, ND 58201
Phone (701) 795-8550

2315 Library Cir
Grand Forks, ND 58201
Phone (701) 795-8530

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1447603832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 17TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015372",
            "telephone_number": "701-795-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 17TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015372",
            "telephone_number": "701-795-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDA",
        "first_name": "SARA",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.