Individual provider Active NPI

Susan Kay Korman, LICSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1831224047
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8166 Issued in MN
Practice address
3523 45TH St S Ste 100
Fargo, ND 58104-8962
Phone
(701) 347-1374
Fax
(701) 899-5965
NPI assigned
Feb 21, 2007
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 3159 ND
Clinical Social Worker 1041C0700X 8166 MN Primary

Addresses

Primary practice location

3523 45TH St S Ste 100
Fargo, ND 58104-8962

Mailing address

2525 9TH St S
Fargo, ND 58103-5707
Phone (701) 371-8915

Other identifiers 1

IdentifierTypeStateIssuer
154218400MedicaidMN

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
I20180731001167 ND Practitioner - Clinical Social Worker 9537204474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3523 45TH St S
Suite 100
Fargo, ND 58104-8962
Phone (701) 941-0175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8166MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Topaz Mental Health Services, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Family Health Care Center Current Accepting new patients
Family Health Care Center CurrentSince Jul 16, 2018 Accepting new patients
Family Health Care Center CurrentSince Jul 16, 2018 Accepting new patients
Prairie St Johns Past Accepting new patients

Locations

301 Np Ave N
Fargo, ND 58102

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

Organizations & group practices 5

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1831224047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 9TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035707",
            "telephone_number": "701-371-8915",
            "fax_number": "701-899-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-347-1374",
            "fax_number": "701-899-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3159",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154218400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.