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Lacey Rustad , LSW

Case Manager/Care Coordinator β€’ Williston, ND

Active NPI 1730509084 Individual Practitioner Female Practitioner
Practice location in NPPES

110 West Broadway, Suite 202
Williston, ND 58801

Call 7017746300 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

110 West Broadway
Suite 202

Williston, ND 58801

Telephone 7017746300
Fax 7015729794
Organization at the Same NPPES Address or Phone
Williams County Social Services Facility NPI 1093213464

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

NPI first issued

2014

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 Williston and North Dakota

73 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Williston, ND (1,546 in North Dakota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Williston

0% of these 73 clinicians have the CMS telehealth indicator.

0% of these 73 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: 2025-04-16
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES ND 4689

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
50763 (ND)

Career & Practice History Timeline

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

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 16, 2025

Recorded as LACEY RUSTAD, LSW

βœ…
NPI Profile Active April 24, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 24, 2014

Registered at 110 WEST BROADWAY, SUITE 202, WILLISTON, ND 58801 (Tel: 7017746300)

πŸ“
Business Mailing Address (Initial Record) April 24, 2014

Registered at 110 WEST BROADWAY, SUITE 202, WILLISTON, ND 58801 (Tel: 7017746300)

πŸ‘€
Provider Name / Credentials (Initial Record) April 24, 2014

Recorded as LACEY THOMPSON, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2014

Case Manager/Care Coordinator (license number reported to NPPES: ND 4689)

🟒
Initial NPI Registration & Enumeration April 24, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730509084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2014
Last Update: April 16, 2025
Sole Proprietor: No

Mailing Address

110 West Broadway, Suite 202

Williston, ND 58801

Phone: 7017746300

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.