Clay County Social Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLAY COUNTY SOCIAL SERVICES

Practice address

715 11TH St N Ste 502
Moorhead, MN 56560-2000

Phone

(218) 299-5200

Fax

(218) 299-7515

NPI assigned

Jun 25, 2010

Last updated

Jun 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda Porter

Title

Director

Phone

(218) 299-7134

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica L Mickelson, LSW

  • Case Manager/Care Coordinator
  • Fargo, ND
  • NPI 1801956255
  NPD

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1861703712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 11TH ST N STE 502",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602000",
            "telephone_number": "218-299-5200",
            "fax_number": "218-299-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 11TH ST N STE 502",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602000",
            "telephone_number": "218-299-5200",
            "fax_number": "218-299-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-299-7134",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Mathison DDS PC
• Andrew J Clark, DPT
• Brian Clark
• Ivory Clark
• Clay County (Clay County Public Health)
• Clay Moorhead Holdings LLC (Moorhead Restorative Care Center)
• Coborns Inc (Cash Wise Pharmacy)
• Elizabeth Cogan
• Aaron Coleman, LPC
• Jordan Coles, LPCC

• Community/Behavioral Health Agency in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.