Duane Gourneau, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2940 Issued in ND

Practice address

1 Hospital Road
Box 160
Belcourt, ND 58316-0160

Phone

(701) 477-6111

Fax

(701) 477-8410

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558413534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "address_2": "BOX 160",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "address_2": "BOX 160",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURNEAU",
        "first_name": "DUANE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01063",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Kenneth Glatz, PHARMD
• Karen Alice Gooden-Gourneau
• Lori L Goulet, RN
• Bonnie Marie Gourneau
• Carol Gourneau, LMSW
• Erica Gourneau
• Sharla Gourneau
• Susan Nadine Gourneau
• Brenda Grant
• Dawn T Grant, RN

• Social Worker in Belcourt, ND
• Providers in Belcourt, 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 Jul 8, 2007; 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.