Alissa L Decoteau, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4245 Issued in ND

Practice address

2632 47TH St S Ste 102
Fargo, ND 58104-8571

Phone

(701) 893-8068

NPI assigned

Apr 4, 2011

Last updated

May 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Innova Counseling Services PLLC

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1649049412
  NPD (past) Authorized official
• St. Sophie's, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fargo, ND
  • NPI 1336443654
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1841589561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 47TH ST S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048571",
            "telephone_number": "701-893-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 47TH ST S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048571",
            "telephone_number": "701-893-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTEAU",
        "first_name": "ALISSA",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25665",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Deboer
• Ashley Debrouwere, M.S., CFY-SLP
• Jason Decker
• Jessica Deckert, M.ED.
• Christopher Anthony Decock, M.D.
• Michelle Lee Decoteau
• Ervin Dedic
• Deep Roots LLC
• Deep Roots Recovery
• Deep Roots Recovery LLC

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, 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 26, 2026; 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.