Danielle Conrad, Licsw, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3613 Issued in ND

Legal business name

DANIELLE CONRAD, LICSW, PLLC

Practice address

1165 S Columbia Rd Ste D
Grand Forks, ND 58201-4007

Phone

(701) 738-0888

Fax

(866) 345-4397

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Conrad, LICSW

Title

Owner/Provider

Phone

(701) 738-0888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodi Lynn Tescher, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1821338922
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1942755541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S COLUMBIA RD STE D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014007",
            "telephone_number": "701-738-0888",
            "fax_number": "866-345-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S COLUMBIA RD STE D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014007",
            "telephone_number": "701-738-0888",
            "fax_number": "866-345-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE CONRAD, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "701-738-0888",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Dalzell, RDH, BSDH
• Jayant S Damle, MD
• Jeremiah Kim Danel, DDS
• Daniel & Max, LLC (Stanton Optical)
• Allison Daniel, DO
• Jennifer Mae Ann Daniels
• Mackenzie Sandra Danielson, MOT
• Naomi Danielson
• Kylee Danks
• Meridee Sue Danks, PT

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, 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 24, 2016; 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.