Individual provider Active NPI

Maryjane Blanchfield

  • Clinical Social Worker
  • Devils Lake, ND
National Provider Identifier
1881767960
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
224 4TH St NW
Suite 5
Devils Lake, ND 58301-2960
Phone
(701) 662-6776
Fax
(701) 662-6889
NPI assigned
Nov 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 603 ND
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

224 4TH St NW
Suite 5
Devils Lake, ND 58301-2960

Mailing address

7535 54TH St NE
Penn, ND 58362-9567

Other identifiers 4

IdentifierTypeStateIssuer
22354OtherNDBCBSND
58301-A002OtherNDTRIWEST
19153MedicaidND
62-56618OtherNDMEDICA UBH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management Resources Clinical PastSince Jan 1, 1990 Accepting new patients
Village Family Service Center Clinical PastSince Jul 28, 2024 Accepting new patients
Village Family Service Center PastSince Nov 3, 2019 Accepting new patients

Organizations & group practices 3

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881767960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 54TH ST NE",
            "city": "PENN",
            "state": "ND",
            "postal_code": "583629567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 4TH ST NW",
            "address_2": "SUITE 5",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012960",
            "telephone_number": "701-662-6776",
            "fax_number": "701-662-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHFIELD",
        "first_name": "MARYJANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ND",
            "license": "603",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND",
            "identifier": "22354",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "58301-A002",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19153",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA UBH",
            "identifier": "62-56618",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.