Individual provider Active NPI

Melanie L Heitkamp, LICSW

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1992919229
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
852 Issued in ND
Practice address
217 W Rosser Ave
Bismarck, ND 58501-3755
Phone
(701) 255-6909
Fax
(701) 255-3922
NPI assigned
May 9, 2007
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 852 ND Primary

Addresses

Primary practice location

217 W Rosser Ave
Bismarck, ND 58501-3755

Mailing address

217 W Rosser Ave
Bismarck, ND 58501-3755
Phone (701) 255-6909

Other identifiers 3

IdentifierTypeStateIssuer
19157MedicaidND
023892OtherBCBS OF ND
6192001OtherGROUP BCBS ND

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
I20240523001644 ND Practitioner - Clinical Social Worker 0345682373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decoteau Trauma-Informed Care and Practice PLLCGroup PAC ID 7911258025, 10 clinicians

Practice addresses (Care Compare)

1320 W Century Ave
Bismarck, ND 58503-0918
Phone (701) 751-0443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
852NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Decoteau Trauma-Informed Care & Practice, PLLC CurrentSince Aug 15, 2025 Accepting new patients

Locations

1320 W Century Ave
Bismarck, ND 58503
Phone (701) 751-0443

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, 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1992919229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013755",
            "telephone_number": "701-255-6909",
            "fax_number": "701-255-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013755",
            "telephone_number": "701-255-6909",
            "fax_number": "701-255-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITKAMP",
        "first_name": "MELANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19157",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "023892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS ND",
            "identifier": "6192001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.