Active NPI
Darla Jean Mork, LCSW
- Clinical Social Worker
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2863
- Practice address
- 151 S 4TH St Ste 401
Grand Forks, ND 58201-4715 - Phone
- (701) 795-3000
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Forks, ND
- NPI 1366496341
ND
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dickinson, ND
- NPI 1124072525
ND
-
- Adult Mental Health Clinic/Center
- Williston, ND
- NPI 1770524613
ND
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bismarck, ND
- NPI 1649226713
ND
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Grand Forks, ND
- NPI 1891808978
-
- Community/Behavioral Health Agency
- Dickinson, ND
- NPI 1952828360
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Human Service Center
Practice addresses (Care Compare)
151 S 4TH St
Suite 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170919000733 | ND | Practitioner - Clinical Social Worker | 0446524102 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2863 | ND | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Behavioral Health Clinic | Current | Accepting new patients | |
| Northeast Behavioral Health Clinic | Current | Accepting new patients | |
| Northwest Behavioral Health Clinic | Current | Accepting new patients | |
| Northeast Human Service Center | Current | Accepting new patients | |
| Badlands Behavioral Health Clinic | Current | Accepting new patients | |
| North Central Behavioral Health Clinic | Current | Accepting new patients | |
| Badlands Behavioral Health Clinic | Past | Accepting new patients |
Locations
1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500
316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 2863 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Mailing address
151 S 4TH St Ste 401
Grand Forks, ND 58201-4715
Phone (701) 795-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2023.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1609269869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 S 4TH ST STE 401",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014715",
"telephone_number": "701-795-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S 4TH ST STE 401",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014715",
"telephone_number": "701-795-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORK",
"first_name": "DARLA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "2863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.