Allen L Siegler Jr., LICSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1280 Issued in ND

Practice address

300 13TH Ave W
Suite 1
Dickinson, ND 58601-4879

Phone

(701) 227-7533

Fax

(701) 227-7575

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Badlands Behavioral Health Clinic

  dba Badlands HSC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dickinson, ND
  • NPI 1124072525
  NPD (past)
• Badlands Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Dickinson, ND
  • NPI 1952828360
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1689600868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 13TH AVE W",
            "address_2": "SUITE 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014879",
            "telephone_number": "701-227-7533",
            "fax_number": "701-227-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 13TH AVE W",
            "address_2": "SUITE 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014879",
            "telephone_number": "701-227-7533",
            "fax_number": "701-227-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGLER",
        "first_name": "ALLEN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LICSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "1280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54523",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "005099",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "800006868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward J. Shea, MA, LAC
• Kamille S Sherman, MD
• Nathaniel Dean Shilman, O.D.
• Christina Jean Shockley, FNP-C, PMHNP-BC
• Jessie Nicole Shypkowski, M.S.
• Lynette Silbernagel, CDE
• Simnioniw Family Chiropractic, PLLC
• Kara Courtney Simons
• Simply Speech Services, LLC
• Ann Marie Sims, LMT

• Clinical Social Worker in Dickinson, ND
• Providers in Dickinson, 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 Oct 30, 2014; 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.