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NICODEMUS THERAPEUTIC SERVICES PLLC NPI 1063113108


NPI Information

NPI: 1063113108
Provider Name: NICODEMUS THERAPEUTIC SERVICES PLLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
525 31ST AVE SW
MINOT, ND
ZIP 58701
Phone: (701) 355-6800
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NICODEMUS THERAPEUTIC SERVICES PLLC is a clinical social worker in Minot, ND. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NICODEMUS THERAPEUTIC SERVICES PLLC NPI is 1063113108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

525 31ST AVE SW
MINOT, ND
ZIP 58701-036
Phone: (701) 355-6800

The provider's authorized official is Timothy Scott Starks .
The authorized official title is Therapist and has the following contact phone number (701) 500-5430.

The enumeration date for this NPI number is 3/15/2023 and was last updated on 12/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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