Individual provider Active NPI

Mary E Gamas

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1972364842
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6750 Issued in ND
Practice address
1715 S Broadway
Minot, ND 58701-6304
Phone
(701) 355-6800
NPI assigned
Jan 18, 2024
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 6750 ND Primary

Addresses

Primary practice location

1715 S Broadway
Minot, ND 58701-6304

Mailing address

1715 S Broadway
Minot, ND 58701-6304
Phone (701) 355-6800

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
I20251230000169 ND Practitioner - Clinical Social Worker 1355837360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1715 S Broadway
Minot, ND 58701-6304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6750NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy of North Dakota PLLC CurrentSince Jan 21, 2024 Accepting new patients
Lea Anna Hughes LCSW Clinical CurrentSince Dec 8, 2025 Accepting new patients

Locations

1715 S Broadway
Minot, ND 58701
Phone (701) 204-6274

Organizations & group practices 2

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1972364842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016304",
            "telephone_number": "701-355-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016304",
            "telephone_number": "701-355-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMAS",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.