Paula M Lundgren, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3725 Issued in ND

Practice address

3221 32ND Ave S
Suite 700
Grand Forks, ND 58201-6071

Phone

(701) 335-4380

Fax

(701) 772-0576

NPI assigned

Sep 25, 2012

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1851642334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 32ND AVE S",
            "address_2": "SUITE 700",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016071",
            "telephone_number": "701-335-4380",
            "fax_number": "701-772-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 32ND AVE S",
            "address_2": "SUITE 700",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016071",
            "telephone_number": "701-335-4380",
            "fax_number": "701-772-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3725",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lukaszewicz, MD
• Jacki Lund
• Lauren Lund
• Sarah Anne Lund, MOTR/L
• Jesse Lee Lunde, PHARMD
• Sonya Lundstrom, LSW
• Parker James Luney, LPC
• Eric R Lunn, MD
• Erin E Lunski, LCAC, LMSW
• Jordan Derrick Lunski, DC

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, 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 Sep 25, 2012; 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.