Active NPI
Ywca Cass Clay
- Case Management Agency
- Fargo, ND
National Provider Identifier
1689306540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2206819 | Ywca Cass Clay | Certificate of waiver | Dec 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.