Individual provider Active NPI

Lisa K Rorvig, MSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1821277328
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4194 Issued in ND
Practice address
1351 Page Dr S Ste 212
Fargo, ND 58103-3536
Phone
(218) 329-9502
NPI assigned
Oct 31, 2007
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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
Clinical Social Worker 1041C0700X 4194 ND Primary

Addresses

Primary practice location

1351 Page Dr S Ste 212
Fargo, ND 58103-3536

Mailing address

1128 Westrac Dr S Ste a
Fargo, ND 58103-8729
Phone (218) 329-9502

Other names 1

  • Lisa K Jackson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20130731000386 ND Practitioner - Clinical Social Worker 2062653256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1351 Page Dr S
Suite 212
Fargo, ND 58103-3536
Phone (218) 329-9502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JDL Counseling LLC CurrentSince Aug 1, 2022 Accepting new patients
Ets Counseling PLLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
Benson Psychological Services PC PastSince Jan 1, 2026 Accepting new patients
Lakeland Mental Health Center PastSince Dec 1, 2017 Accepting new patients

Locations

1121 Westrac Dr S
Ste 208
Fargo, ND 58103
Phone (701) 490-6812

1128 Westrac Dr S
Ste A
Fargo, ND 58103
Phone (701) 318-2017

1351 Page Dr S
Ste 212
Fargo, ND 58103
Phone (218) 329-9502

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1821277328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 WESTRAC DR S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038729",
            "telephone_number": "218-329-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 PAGE DR S STE 212",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033536",
            "telephone_number": "218-329-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORVIG",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JACKSON",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.