Individual provider Active NPI

James Daniel Cronin, LCSW, LICSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1861602591
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3309 Fiechtner Dr S Ste B
Fargo, ND 58103-2375
Phone
(701) 747-0170
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 Primary

Addresses

Primary practice location

3309 Fiechtner Dr S Ste B
Fargo, ND 58103-2375

Mailing address

44633 Crystal Hills Dr
Pelican Rapids, MN 56572-7519
Phone (218) 230-3923

Other practice location 1

44633 Crystal Hills Dr Ste 100
Pelican Rapids, MN 56572-7519
Phone (218) 230-3923

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1861602591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44633 CRYSTAL HILLS DR",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565727519",
            "telephone_number": "218-230-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 FIECHTNER DR S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032375",
            "telephone_number": "701-747-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44633 Crystal Hills Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pelican Rapids",
            "state": "MN",
            "postal_code": "565727519",
            "country_code": "US",
            "telephone_number": "218-230-3923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.