Organization Active NPI

Driftwood Therapeutic Services PLLC

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1801705454
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DRIFTWOOD THERAPEUTIC SERVICES PLLC
Practice address
4719 Shelburne St
Bismarck, ND 58503-5676
Phone
(701) 989-5693
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Pamela Holzworth, LCSW
Title
Clinical Social Worker
Phone
(701) 989-5693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4719 Shelburne St
Bismarck, ND 58503-5676

Mailing address

4719 Shelburne St Ste 4
Bismarck, ND 58503-5677
Phone (701) 989-5693

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1801705454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST STE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035677",
            "telephone_number": "701-989-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035676",
            "telephone_number": "701-989-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTWOOD THERAPEUTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "HOLZWORTH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "701-989-5693",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.