Active NPI
Laura Feldmann, LICSW
- Clinical Social Worker
- Sentinel Butte, ND
National Provider Identifier
1972623148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3596
- Practice address
- 16351 I94
Home on the Range
Sentinel Butte, ND 58654-9500 - Phone
- (701) 872-3745
- Fax
- (701) 872-3748
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3596 | ND | |
| Clinical Social Worker | 1041C0700X | 3596 | ND | Primary |
Addresses
Primary practice location
16351 I94
Home on the Range
Sentinel Butte, ND 58654-9500
Mailing address
16351 I94
Home on the Range
Sentinel Butte, ND 58654-9500
Phone (701) 872-3745
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19237 | Medicaid | ND | |
| 74026 | Medicaid | ND | |
| 27484 | Other | ND | BS OF ND |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3596 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home on the Range | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Sentinel Butte, ND
- NPI 1114059805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1972623148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16351 I94",
"address_2": "HOME ON THE RANGE",
"city": "SENTINEL BUTTE",
"state": "ND",
"postal_code": "586549500",
"telephone_number": "701-872-3745",
"fax_number": "701-872-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16351 I94",
"address_2": "HOME ON THE RANGE",
"city": "SENTINEL BUTTE",
"state": "ND",
"postal_code": "586549500",
"telephone_number": "701-872-3745",
"fax_number": "701-872-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMANN",
"first_name": "LAURA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "3596",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "3596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19237",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74026",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF ND",
"identifier": "27484",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sentinel Butte, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.