Active NPI
Shawna Marie Croaker, LCSW
- Clinical Social Worker
- Fargo, ND
National Provider Identifier
1992147243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4466
- Practice address
- 3175 Sienna Dr S Ste 107
Fargo, ND 58104-8910 - Phone
- (701) 248-6349
- NPI assigned
- Jul 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4466 | ND | Primary |
Addresses
Primary practice location
3175 Sienna Dr S Ste 107
Fargo, ND 58104-8910
Mailing address
3175 Sienna Dr S Ste 107
Fargo, ND 58104-8910
Phone (701) 248-6349
Other practice location 1
4553 9th Ave S Ste 3
Fargo, ND 58103-7253
Phone (701) 526-1565
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 |
|---|---|---|---|
| 4466 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Days Therapy and Wellness | Clinical | Current | Accepting new patients |
Locations
3175 Sienna Dr S
Ste 107
Fargo, ND 58104
Phone (701) 248-6306
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1992147243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 SIENNA DR S STE 107",
"city": "FARGO",
"state": "ND",
"postal_code": "581048910",
"telephone_number": "701-248-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 SIENNA DR S STE 107",
"city": "FARGO",
"state": "ND",
"postal_code": "581048910",
"telephone_number": "701-248-6349"
}
],
"practiceLocations": [
{
"address_1": "4553 9th Ave S Ste 3",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581037253",
"country_code": "US",
"telephone_number": "701-526-1565",
"fax_number": "701-365-0196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROAKER",
"first_name": "SHAWNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "4466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.