Shantel Marie Froelich, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4848 Issued in ND

Practice address

205 4TH Ave W
Lisbon, ND 58054-4109

Phone

(701) 683-6135

NPI assigned

Apr 23, 2014

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

• Shantel Marie Chase Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Traill County Government

  • Case Management Agency
  • Hillsboro, ND
  • NPI 1336543701
  NPD (past)
• Traill District Health Unit

  • Public Health or Welfare Agency
  • Hillsboro, ND
  • NPI 1588763932
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1679993182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580540628",
            "telephone_number": "701-683-6135",
            "fax_number": "701-683-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 4TH AVE W",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544109",
            "telephone_number": "701-683-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "SHANTEL",
        "middle_name": "MARIE",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTEL",
            "last_name": "CHASE",
            "middle_name": "MARIE",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oscar Fernandez, M.D.
• First Medic Ambulance Service of Ransom County Inc
• Chantelle Marie Fletcher
• Francis H. Zeck, Jr., DDS LTD
• Sarah Frauenberg, DNP, FNP-C
• Marshelle Greenmyer-Bittner, LICSW
• Hailey Kate Gregor, RN
• Annette Bartosh Heacox, DC
• Kelsey Hegle
• Derek William Hiam, DDS

• Social Worker in Lisbon, ND
• Providers in Lisbon, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.