Organization Active NPI

Ywca Cass Clay

  • Case Management Agency
  • Fargo, ND
National Provider Identifier
1689306540
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YWCA CASS CLAY
Practice address
4650 38TH Ave S Ste 110
Fargo, ND 58104-8529
Phone
(701) 232-2547
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Katie Severson
Title
Finance Director
Phone
(701) 232-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4650 38TH Ave S Ste 110
Fargo, ND 58104-8529

Mailing address

4650 38TH Ave S Ste 110
Fargo, ND 58104-8529
Phone (701) 232-2547

Other practice location 1

1480 16th St E
West Fargo, ND 58078-3432
Phone (701) 232-2547

Other practice location 2

3000 University Dr S
Fargo, ND 58103-6002
Phone (701) 232-3449

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2206819Ywca Cass Clay3000 S University, Fargo, ND 58103Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

Locations

3000 University Dr S
Fargo, ND 58103
Phone (701) 232-3449

4650 38th Ave S
Ste 110
Fargo, ND 58104
Phone (701) 232-2547

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1689306540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 38TH AVE S STE 110",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048529",
            "telephone_number": "701-232-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 38TH AVE S STE 110",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048529",
            "telephone_number": "701-232-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 16th St E",
            "address_purpose": "LOCATION",
            "city": "West Fargo",
            "state": "ND",
            "postal_code": "580783432",
            "country_code": "US",
            "telephone_number": "701-232-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036002",
            "country_code": "US",
            "telephone_number": "701-232-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YWCA CASS CLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "701-232-2547"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.