GARETT C WILTSE (NPI# 1336752443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336752443 |
| Entity Type | Individual |
| Full Name | GARETT C WILTSE |
| Practice Address |
151 S 4th St Grand Forks ND 58201-4715 |
| Practice Telephone | 7017953082 |
| Mailing Telephone | 7017953000 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5729 | ND | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5729 | ND | Behavioral Health & Social Service Providers |
| Street Address |
151 S 4TH ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496341 | Northeast Human Service Center | Clinic/Center | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-05-22 |
| 1700496775 | Caylee Ellingson | Psychologist | 151 S 4th St, Grand Forks, ND 58201-4715 | 2020-08-05 |
| 1134647530 | Cynthia Severinson | Registered Nurse | 151 S 4th St, Ste 401, Grand Forks, ND 58201 | 2017-09-06 |
| 1194255026 | George C. Jirout | Social Worker | 151 S 4th St, Grand Forks, ND 58201-4715 | 2017-06-13 |
| 1568998391 | Casey Davidson | Social Worker | 151 S 4th St, Suite 201, Grand Forks, ND 58201-4715 | 2017-05-11 |
| 1043745763 | Michelle Marie Tupa | Social Worker | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2017-05-01 |
| 1740713239 | Sara Bondy | Social Worker | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2017-04-11 |
| 1184157349 | Erin West | Counselor | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2017-04-05 |
| 1215471362 | Sara K. Munson | Counselor | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2016-12-08 |
| 1568918001 | Shosti L. Aaker | Counselor | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2016-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353387 | Drew Jaeger | Social Worker | 1726 S Washington St Ste 60, Grand Forks, ND 58201-6370 | 2019-08-28 |
| 1992287957 | Jamie Lynn Sehrt | Social Worker | 860 S Columbia Rd Bldg 1, Grand Forks, ND 58201-4028 | 2018-09-05 |
| 1073935623 | Jessica Hermanson | Social Worker | 1407 24th Ave S Ste 530, Grand Forks, ND 58201-6761 | 2014-01-16 |
| 1851531008 | Marlys Mae Kvasager | Social Worker | 2530 9th Ave N, Grand Forks, ND 58203-2279 | 2009-03-01 |
| 1669662284 | Julie Ann Riddle | Social Worker | 117 N Washington St Ste 3, Grand Forks, ND 58203-3450 | 2007-07-30 |
| 1902001373 | Renae A. Broden | Social Worker | 1616 S 17th St, Grand Forks, ND 58201-5355 | 2007-06-18 |
| 1124236443 | Kathleen Phyllis Colley | Social Worker | 1407 24th Ave S Ste 217, Grand Forks, ND 58201-6761 | 2007-05-18 |
| 1235263344 | Lucas James Nelson | Social Worker | 151 S 4th St Ste 201, Grand Forks, ND 58201-4715 | 2007-03-14 |
| 1912092263 | Kristina S Cavalli | Social Worker | 1407 24th Ave S, Ste. 530, Grand Forks, ND 58201-6761 | 2006-10-04 |
| 1033217955 | Diane Kay Baumbach | Social Worker | 2755 10th Ave N, Grand Forks, ND 58203 | 2006-09-21 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.