Individual provider Active NPI

Tabitha Welk, LICSW

  • Clinical Social Worker
  • Rugby, ND
National Provider Identifier
1891828273
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4360 Issued in ND
Practice address
119 2ND St SW
Rugby, ND 58368-1701
Phone
(701) 776-2272
Fax
(701) 343-1166
NPI assigned
Mar 14, 2007
Last updated
Oct 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 4360 ND Primary

Addresses

Primary practice location

119 2ND St SW
Rugby, ND 58368-1701

Mailing address

119 2ND St SW
Rugby, ND 58368-1701
Phone (701) 776-2272

Other names 1

  • Tabitha Morin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000406 ND Practitioner - Clinical Social Worker 3971644964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 2ND St SW
Rugby, ND 58368-1211
Phone (701) 776-2272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4360NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearpath Behavioral Health LLC Clinical CurrentSince Apr 15, 2024 Accepting new patients

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1891828273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 2ND ST SW",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583681701",
            "telephone_number": "701-776-2272",
            "fax_number": "701-343-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 2ND ST SW",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583681701",
            "telephone_number": "701-776-2272",
            "fax_number": "701-343-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELK",
        "first_name": "TABITHA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "MORIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rugby, ND

Sources for this page

Verify at the official NPI Registry.