Individual provider Active NPI

Mary Elizabeth McCurdy, LCSW, BACS

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1962839969
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8513 Issued in LA
Practice address
4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Phone
(701) 205-3000
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 8513 LA Primary

Addresses

Primary practice location

4700 S Washington St Ste G
Grand Forks, ND 58201-8155

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210
Phone (701) 205-3000

Other names 1

  • Mary Elizabeth McCurdy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, LA, AK4 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20241010002619 MN Practitioner - Clinical Social Worker 4688106057
I20241024004011 ND Practitioner - Clinical Social Worker 4688106057
I20250123001691 LA Practitioner - Clinical Social Worker 4688106057 Reassigns benefits to 1 organization
I20250220003451 AK Practitioner - Clinical Social Worker 4688106057 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8513LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Feb 1, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Feb 1, 2025 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Southwestern Dist Health Unit Past Accepting new patients
Lake Country Associates, Inc. PastSince Mar 15, 2010 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1962839969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065210",
            "telephone_number": "701-205-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST STE G",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018155",
            "telephone_number": "701-205-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW, BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCCURDY",
            "middle_name": "ELIZABETH",
            "credential": "LCSW, BACS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.