Rochelle Renee Nyberg, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3254 Issued in ND

Practice address

1821 Burdick Expy W
Minot, ND 58701-5667

Phone

(701) 852-7171

Fax

(701) 852-7121

NPI assigned

Oct 10, 2006

Sex

Female

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 2

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Calm Therapy Place, PLLC

  • Clinical Social Worker
  • Minot, ND
  • NPI 1356928741
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1609964238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BURDICK EXPY W",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015667",
            "telephone_number": "701-852-7171",
            "fax_number": "701-852-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BURDICK EXPY W",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015667",
            "telephone_number": "701-852-7171",
            "fax_number": "701-852-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "ROCHELLE",
        "middle_name": "RENEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "030078",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54517",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Dakota Surgery Center LLC
• Kara J Nunziato, SLP
• Casmiar I Nwaigwe, MD
• Cordelia O Nwankwo, NP
• Uchechukwu David Nwordu, MD
• Tia Nygaard
• Robert Peter Nyre, OD
• Michelle Angela O'Connor
• Christine Ann O'Riley, PSY.D.
• Geoffrey Obia, FNP

• Clinical Social Worker in Minot, ND
• Providers in Minot, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.