Individual provider Active NPI

Sara E. Kasmer, LSW

  • Social Worker
  • Williston, ND
National Provider Identifier
1912186958
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4169 Issued in ND
Practice address
1135 2ND Ave W Ste 202
Williston, ND 58801-4175
Phone
(701) 572-7650
Fax
(701) 572-7656
NPI assigned
Oct 26, 2007
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4169 ND Primary

Addresses

Primary practice location

1135 2ND Ave W Ste 202
Williston, ND 58801-4175

Mailing address

2009 19TH Ave W
Williston, ND 58801-6506
Phone (701) 570-8148

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
4169NDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1912186958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 19TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016506",
            "telephone_number": "701-570-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 2ND AVE W STE 202",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014175",
            "telephone_number": "701-572-7650",
            "fax_number": "701-572-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASMER",
        "first_name": "SARA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.