Individual provider Active NPI

Denette M. Narum, MSW

  • Clinical Social Worker
  • Moorhead, MN
National Provider Identifier
1790728210
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11815 Issued in MN
Practice address
1100 32ND Ave S Ste B
Moorhead, MN 56560-5012
Phone
(218) 979-9285
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11815 MN Primary
Clinical Social Worker 1041C0700X 5796 ND

Addresses

Primary practice location

1100 32ND Ave S Ste B
Moorhead, MN 56560-5012

Mailing address

1915 4TH St S
Moorhead, MN 56560-4128
Phone (218) 979-9285

Other identifiers 6

IdentifierTypeStateIssuer
1028273OtherMNPREFERREDONE
62-53873OtherMNUNITED BEHAVIORAL HEALTH
49D27NAOtherMNBLUE SHIELD OF MINNESOTA
761122600MedicaidMN
HP33747OtherMNHEALTHPARTNERS
20739OtherNDBLUE SHIELD OF NO. DAKOTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000747 MN Practitioner - Clinical Social Worker 7214095504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11815MNMDClinical Social Worker
5796NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Denette Narum Counseling LLC Clinical CurrentSince Mar 18, 2024 Accepting new patients

Locations

1100 32nd Ave S
Ste B
Moorhead, MN 56560
Phone (218) 979-9285

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1790728210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 4TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604128",
            "telephone_number": "218-979-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 32ND AVE S STE B",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605012",
            "telephone_number": "218-979-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARUM",
        "first_name": "DENETTE",
        "middle_name": "M.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11815",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5796",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1028273",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-53873",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MINNESOTA",
            "identifier": "49D27NA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761122600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP33747",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NO. DAKOTA",
            "identifier": "20739",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.