Individual provider Active NPI

Stephen Huebschwerlen, LICSW

  • Social Worker
  • Bismarck, ND
National Provider Identifier
1528268539
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
200 Issued in ND
Practice address
600 S 2ND St
Suite 215
Bismarck, ND 58504-5729
Phone
(701) 751-1549
Fax
(701) 751-1549
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 200 ND Primary

Addresses

Primary practice location

600 S 2ND St
Suite 215
Bismarck, ND 58504-5729

Mailing address

600 S 2ND St
Suite 215
Bismarck, ND 58504-5729
Phone (701) 751-1549

Other identifiers 2

IdentifierTypeStateIssuer
200OtherNDLICENSE
1454796MedicaidND

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
I20070809000435 ND Practitioner - Clinical Social Worker 8921199696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 S 2ND St
Suite 215
Bismarck, ND 58504-5729
Phone (701) 751-1549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Mediation & Therapy, PC CurrentSince Mar 21, 2012 Accepting new patients

Locations

418 E Broadway Ave
Ste 216
Bismarck, ND 58501
Phone (701) 751-1549

600 S 2nd St
Ste 215
Bismarck, ND 58504
Phone (701) 751-1549

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1528268539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST",
            "address_2": "SUITE 215",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045729",
            "telephone_number": "701-751-1549",
            "fax_number": "701-751-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST",
            "address_2": "SUITE 215",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045729",
            "telephone_number": "701-751-1549",
            "fax_number": "701-751-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBSCHWERLEN",
        "first_name": "STEPHEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "200",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454796",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.