Active NPI
Ronda A. Pedersen, LSW
- Case Manager/Care Coordinator
- Dickinson, ND
National Provider Identifier
1598832958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 200 Pulver Hall
Dickinson, ND 58601-4857 - Phone
- (701) 227-7536
- Fax
- (701) 227-7575
- NPI assigned
- Nov 29, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2286 | ND | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
200 Pulver Hall
Dickinson, ND 58601-4857
Mailing address
200 Pulver Hall
Dickinson, ND 58601-4857
Phone (701) 227-7536
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54523 | Medicaid | ND | |
| 79293 | Other | ND | SED CARE COORDINATOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2286 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Badlands Behavioral Health Clinic | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Badlands HSC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dickinson, ND
- NPI 1124072525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1598832958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PULVER HALL",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014857",
"telephone_number": "701-227-7536",
"fax_number": "701-227-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PULVER HALL",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014857",
"telephone_number": "701-227-7536",
"fax_number": "701-227-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "RONDA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "2286",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54523",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SED CARE COORDINATOR",
"identifier": "79293",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.