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THE FRED AND CLARA ECKERT FOUNDATION FOR CHILDREN NPI 1417090861


NPI Information

NPI: 1417090861
Provider Name: THE FRED AND CLARA ECKERT FOUNDATION FOR CHILDREN

Doing Business As: ECKERT

Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
719 EAST 11TH STREET
WILLISTON, ND
ZIP 58801
Phone: (701) 572-7262
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THE FRED AND CLARA ECKERT FOUNDATION FOR CHILDREN is a social worker in Williston, ND. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. THE FRED AND CLARA ECKERT FOUNDATION FOR CHILDREN NPI is 1417090861. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eckert.

The provider's business location address is:

719 EAST 11TH STREET
WILLISTON, ND
ZIP 58801
Phone: (701) 572-7262

The provider's authorized official is Brenda L. Buerkle .
The authorized official title is Administrative and has the following contact phone number (701) 577-0270.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 2/8/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150705MEDICAIDNORTH DAKOTA

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: 4/28/2024

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