MS. JANELLE R MIEDEMA (NPI# 1083752455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083752455 |
| Entity Type | Individual |
| Full Name | MS. JANELLE R MIEDEMA |
| Credential | LICSW |
| Practice Address |
1202 23 St S Fargo ND 58103 |
| Practice Telephone | 7012935429 |
| Practice Fax Number | 7012930736 |
| Mailing Telephone | 7012930736 |
| Mailing Fax Number | 7012930736 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
992 | ND | Behavioral Health & Social Service Providers |
| Street Address |
1202 23 ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154378057 | Drake Counseling Services Inc | Registered Nurse | 1202 23 St S, Fargo, ND 58103-2951 | 2006-05-27 |
| 1710165832 | Jennifer Ann Bartsch | Counselor | 1202 23 St S, Fargo, ND 58103 | 2008-01-31 |
| 1689862112 | Maronda Robertson | Counselor | 1202 23 St S, Fargo, ND 58103 | 2007-10-10 |
| 1538363593 | Sheila Kapaun | Counselor | 1202 23 St S, Fargo, ND 58100 | 2007-06-13 |
| 1285768911 | James Symons | Counselor | 1202 23 St S, Fargo, ND 58103 | 2007-03-15 |
| 1881732956 | Jon Carl Tengesdal | Counselor | 1202 23 St S, Fargo, ND 58103 | 2007-02-02 |
| 1447398813 | Charlyne K Walen | Counselor | 1202 23 St S, Fargo, ND 58103 | 2007-02-01 |
| 1184762551 | Julie Kay Starkey | Counselor | 1202 23 St S, Fargo, ND 58103 | 2007-02-01 |
| 1427113703 | Charles Pollitt Drake | Counselor | 1202 23 St S, Fargo, ND 58103 | 2006-12-27 |
| 1407921752 | Vicki Jean Loyland | Counselor | 1202 23 St S, Fargo, ND 58103 | 2006-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
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| 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 |
| 1558726083 | Cathy Lynn Bauer-kottenbrock | Social Worker | 2101 Elm Street N, Fargo, ND 58102-2498 | 2015-12-29 |
| 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 |
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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.