Tamrin Brenno-Fagerland, LSW
Individual provider Active NPI Social Worker · Williston, ND
NPI 1710063284 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710063284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2829 (ND)
- Practice address
- 316 2ND Ave W
Williston, ND 58801-5218 - Phone
- (701) 774-4600
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2829 | ND | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2829 | ND | Yes |
Addresses
Primary practice location
316 2ND Ave W
Williston, ND 58801-5218
Mailing address
PO Box 1266
Williston, ND 58802-1266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54516 | Medicaid | ND |
Other names
- Tamrin Brenno
Other providers in Williston, ND
- Susan Mae Bradford
- Alina Bradish
- Emilee T Brannan
- Jordan Braun
- Cami S Bren
- Danielle J Brenno-Watterud
- Tammie Brock
- Deborah L Bronson
- Brook McFarlin Chiropractic LLC
- William J Brunsman
All providers in Williston, ND · Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.