Mary J Solberg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2997 Issued in ND

Legal business name

MARY J SOLBERG

Practice address

1705 4TH Ave NW
Minot, ND 58703

Phone

(701) 839-0474

Fax

(701) 839-0713

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Char Hickel

Title

Office Manager

Phone

(701) 839-0474

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary J Solberg, MSW, LICSW

  • Clinical Social Worker
  • Minot, ND
  • NPI 1548591225
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1750701280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 4TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032912",
            "telephone_number": "701-839-0474",
            "fax_number": "701-839-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 4TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58703",
            "telephone_number": "701-839-0474",
            "fax_number": "701-839-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J SOLBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HICKEL",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-839-0474"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "2997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "N717658",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19302",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "717658",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martinsen Behavioral Health PLLC
• Della A Martinsen, PHD
• Wayne L Martinsen, M.D.
• Jill R Martinson-Redekopp, OD
• Rosa I Martire
• Lana Mascarena
• Kirk Layne Mason, D.C.
• Kimberly Ann Massine
• Jennifer Masters
• Kpah Charles Matadi Jr., PHARMD

• Clinical Social Worker in Minot, ND
• Providers in Minot, 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 May 15, 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.