Emma Pelach, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6677 Issued in ND

Practice address

1424 W Century Ave Ste 103
Bismarck, ND 58503-0917

Phone

(701) 805-1939

NPI assigned

Feb 23, 2024

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 names 1

• Emma Hafdahl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Empowered Mental Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bismarck, ND
  • NPI 1164124368
  NPD

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1679339964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 W CENTURY AVE STE 103",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030917",
            "telephone_number": "701-805-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 W CENTURY AVE STE 103",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030917",
            "telephone_number": "701-805-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELACH",
        "first_name": "EMMA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "HAFDAHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abby Pechota
• Monique Alexandra Pederson
• Pedro G Mendoza MD PC (Pneumos Lung and Sleep Specialists)
• Pedro G. Mendoza M.D. P.C. (Pneumos Lung and Sleep Specialist)
• Roger Morris Peet, LAC
• Allison Evelyn Peltier, D.N.P, FNP-C
• Pelvic Flow PT
• Danette Pengilly, GNP-C
• David J Pengilly, MD
• Jeremiah Jon Penn, MD

• Clinical Social Worker in Bismarck, ND
• Providers in Bismarck, 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 Feb 23, 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.