Individual provider Active NPI

Camille Redmann, LCSW

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1861732026
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4532 Issued in ND
Practice address
2424 32ND Ave S Ste 102
Grand Forks, ND 58201-6509
Phone
(701) 740-9040
Fax
(701) 335-7469
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 4532 ND Primary

Addresses

Primary practice location

2424 32ND Ave S Ste 102
Grand Forks, ND 58201-6509

Mailing address

2501 28TH Ave S Unit 12282
Grand Forks, ND 58208-6212
Phone (701) 740-9040

Other practice location 1

1609 15th Ave NE
Grand Forks, ND 58201-9616
Phone (701) 215-2269

Other practice location 2

212 S 4th St Ste 401
Grand Forks, ND 58201-4776
Phone (701) 775-7725

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4532NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Down to Earth Counseling PLLC Clinical CurrentSince Aug 6, 2023 Accepting new patients

Locations

1407 24th Ave S
Ste 223
Grand Forks, ND 58201

2501 28th Ave S
Unit 12282
Grand Forks, ND 58208

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1861732026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 28TH AVE S UNIT 12282",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582086212",
            "telephone_number": "701-740-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 32ND AVE S STE 102",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016509",
            "telephone_number": "701-740-9040",
            "fax_number": "701-335-7469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 15th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582019616",
            "country_code": "US",
            "telephone_number": "701-215-2269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 S 4th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014776",
            "country_code": "US",
            "telephone_number": "701-775-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMANN",
        "first_name": "CAMILLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.