Individual provider Active NPI

Mariah M Banse, LCSW

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1861241820
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5860 Issued in ND
Practice address
101 Slate Dr Ste 7
Bismarck, ND 58503-6171
Phone
(701) 805-1939
NPI assigned
May 14, 2024
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5860 ND Primary

Addresses

Primary practice location

101 Slate Dr Ste 7
Bismarck, ND 58503-6171

Mailing address

101 Slate Dr Ste 7
Bismarck, ND 58503-6171
Phone (701) 805-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Slate Dr
Suite 7
Bismarck, ND 58503-6170

101 Slate Dr
Suite 7
Bismarck, ND 58503-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5860NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Mental Health, PLLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

101 Slate Dr
Ste 7
Bismarck, ND 58503
Phone (701) 805-1939

Organizations & group practices 1

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1861241820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SLATE DR STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036171",
            "telephone_number": "701-805-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SLATE DR STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036171",
            "telephone_number": "701-805-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSE",
        "first_name": "MARIAH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.