Individual provider Active NPI

Sarah Bernstrom, LSW

  • Social Worker
  • Fargo, ND
National Provider Identifier
1659622272
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4780 Issued in ND
Practice address
700 7TH St S
Fargo, ND 58103-2704
Phone
(701) 446-1000
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20772 MN
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 4780 ND Primary

Addresses

Primary practice location

700 7TH St S
Fargo, ND 58103-2704

Mailing address

700 7TH St S
Fargo, ND 58103-2704

Other practice location 1

2624 9th Ave S
Fargo, ND 58103-2350
Phone (701) 298-4500 ext. 4670

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

LicenseStateTypeSpecialty
4780NDMDSocial Worker
20772MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fargo Public Schools CurrentSince Mar 31, 2024 Accepting new patients

Locations

700 7th St S
Fargo, ND 58103
Phone (701) 446-1000

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1659622272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 7TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 7TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032704",
            "telephone_number": "701-446-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 9th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581032350",
            "country_code": "US",
            "telephone_number": "701-298-4500 x4670",
            "fax_number": "701-298-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNSTROM",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20772",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.