Allie Catherine Skjonsberg, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5642 Issued in ND

Practice address

275 11TH St S
Wahpeton, ND 58075-4655

Phone

(701) 642-2000

NPI assigned

Apr 27, 2018

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advocates for Change

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1831965748

  Clinical

  Medicare reassignment NPD
• Heart & Soul Counseling, PLLC

  • Clinical Social Worker
  • Abercrombie, ND
  • NPI 1255106936
  NPD Authorized official
• Community Uplift Program

  dba Harbor Health Clinic

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1538661384
  NPD
• Thrive Behavioral Network II, LLC

  dba Birch Tree Center

  • Physical Disabilities Residential Treatment Facility
  • Duluth, MN
  • NPI 1275955270
  NPD (past)

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1932697786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 11TH ST S",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754655",
            "telephone_number": "701-642-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKJONSBERG",
        "first_name": "ALLIE",
        "middle_name": "CATHERINE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23856",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott N. Schaar, DDS
• Mikaela Alexandra Schimek, PT, DPT
• Silav Selman
• Shoptikal LLC (Shopko Optical 4283)
• Emma Silvernail
• Jodi Smith
• Southtown Econodrug, Inc.
• Michelle Catherine Stach, PTAL
• Joanna Steckler
• Duane D Strand, MD

• Clinical Social Worker in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.