Individual provider Active NPI

Emily Koenig, LCSW

  • Clinical Social Worker
  • Cavalier, ND
National Provider Identifier
1679273452
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5405 Issued in ND
Practice address
301 Mountain St E
Cavalier, ND 58220-4015
Phone
(701) 265-6307
Fax
(701) 265-6373
NPI assigned
Mar 9, 2023
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5405 ND
Clinical Social Worker 1041C0700X 5405 ND Primary

Addresses

Primary practice location

301 Mountain St E
Cavalier, ND 58220-4015

Mailing address

PO Box 380
Cavalier, ND 58220-0380
Phone (701) 265-6307

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930001391 ND Practitioner - Clinical Social Worker 2365948395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Dakota School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pembina County Memorial Hospital AssociationGroup PAC ID 4789643719, shared by 4 NPIs, 142 clinicians

Practice addresses (Care Compare)

301 Mountain St E
Cavalier, ND 58220-4015
Phone (701) 265-8461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5405NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pembina County Memorial Hospital Association CurrentSince Sep 10, 2025 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Sep 10, 2025 Accepting new patients

Locations

301 Mountain St E
Cavalier, ND 58220
Phone (701) 265-6307

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1679273452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582200380",
            "telephone_number": "701-265-6307",
            "fax_number": "701-265-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNTAIN ST E",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204015",
            "telephone_number": "701-265-6307",
            "fax_number": "701-265-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5405",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cavalier, ND

Sources for this page

Verify at the official NPI Registry.