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Shanda Hakk

Social Worker β€’ Fargo, ND

Active NPI 1477809234 Individual Practitioner Female Practitioner
Practice location in NPPES

3911 20th Ave S
Fargo, ND 581034705

Call 7013919961 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3911 20th Ave S

Fargo, ND 581034705

Telephone 7013919961
Organization at the Same NPPES Address or Phone
Lutheran Social Services Of Nd Facility NPI 1356558878

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fargo and North Dakota

269 active clinicians are listed under Social Worker with a practice address in Fargo, ND (843 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fargo

1.5% of these 269 clinicians have the CMS telehealth indicator.

3.3% of these 269 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-05
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES ND 4182

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Glenda Trochmann , LICSW

Social Worker - Clinical

NPI 1811083173

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 05, 2020

Registered at 3911 20TH AVE S, FARGO, ND 581034705 (Tel: 7013919961)

πŸ‘€
Provider Name / Credentials Updated May 05, 2020

Recorded as SHANDA HAKK

βœ…
NPI Profile Active July 31, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 31, 2012

Registered at 1112 NODAK DR S STE 200, FARGO, ND 581032366 (Tel: 7013919961)

πŸ“
Business Mailing Address (Initial Record) July 31, 2012

Registered at 1112 NODAK DR S STE 200, FARGO, ND 581032366

πŸ‘€
Provider Name / Credentials (Initial Record) July 31, 2012

Recorded as SHANDA BULTSMA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2012

Social Worker (license number reported to NPPES: ND 4182)

🟒
Initial NPI Registration & Enumeration July 31, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477809234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2012
Last Update: May 05, 2020
Sole Proprietor: Yes

Other Social Workers in Fargo

Healthcare providers in Fargo

Mailing Address

1112 Nodak Dr S Ste 200

Fargo, ND 581032366

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.