MRS. CATHY LYNN BAUER-KOTTENBROCK (NPI# 1558726083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558726083 |
| Entity Type | Individual |
| Full Name | MRS. CATHY LYNN BAUER-KOTTENBROCK |
| Credential | LICSW |
| Practice Address |
2101 Elm Street N Fargo ND 58102-2498 |
| Practice Telephone | 7012323241 |
| Mailing Telephone | 7012323241 |
| Mailing Fax Number | 7012393780 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3529 | ND | Behavioral Health & Social Service Providers |
| Street Address |
2101 ELM STREET N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1861955296 | Empower Counseling LLC | Social Worker | 4675 40th Ave S Ste 130, Fargo, ND 58104-4444 | 2019-04-11 |
| 1295262897 | Centerstone Counseling | Social Worker | 417 38th St Sw Ste D, Fargo, ND 58103-6508 | 2017-05-15 |
| 1992252621 | Brittany Schank | Social Worker | 1321 23rd St S Ste D, Fargo, ND 58103-3724 | 2016-09-11 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1942625983 | Jennifer Lenore Anderson | Social Worker | 1351 Page Dr S Ste 202, Fargo, ND 58103-3536 | 2014-02-27 |
| 1992147243 | Shawna Marie Croaker | Social Worker | 4553 9th Ave S Ste 3, Fargo, ND 58103-7253 | 2013-07-26 |
| 1992056147 | Nicholas Gard | Social Worker | 1112 Nodak Dr S Ste 105, Fargo, ND 58103-2366 | 2012-09-27 |
| 1265707848 | Erika Louise Lake | Social Worker | 1330 Page Dr S Ste 101, Fargo, ND 58103-3551 | 2012-03-15 |
| 1346519378 | Trishia K Powell | Social Worker | 3125 41st St S, Fargo, ND 58104-8666 | 2011-12-20 |
| 1528391679 | Pamla J Erickson | Social Worker | Southeast Human Service Center, 2624 9th Ave S, Fargo, ND 58103 | 2009-09-08 |
| Find all providers in FARGO | ||||
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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.