BOIS FORTE HUMAN SERVICES (NPI# 1528288073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528288073 |
| Entity Type | Organization |
| Organization Name | BOIS FORTE HUMAN SERVICES |
| Practice Address |
13090 Westley Drive Suite B Nett Lake MN 55772 |
| Practice Telephone | 2187570111 |
| Practice Fax Number | 2187570109 |
| Mailing Telephone | 2187570111 |
| Mailing Fax Number | 2187570109 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TRUDY LYNN KING (BILLING CLERK) |
| Authorized Official Telephone | 2187570111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MN | Behavioral Health & Social Service Providers |
| Street Address |
13090 WESTLEY DRIVE SUITE B |
| City | NETT LAKE |
| State | MN |
| Zip Code | 55772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821153347 | St. Louis & Koochiching Cos Ind School Dist 707 | Local Education Agency (LEA) | 13090 Westley Drive, Nett Lake, MN 55772-8122 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286357 | Joe Witt | Psychologist | 5219 St. John Drive, Nett Lake, MN 55772 | 2017-03-10 |
| 1346600962 | Julie Corradi | Pharmacist | 5219 St. Johns Drive, Nett Lake, MN 55772 | 2016-02-24 |
| 1205134152 | Melissa Joan Grzybowski | Dietitian, Registered | 5219 St. John's Drive, Nett Lake, MN 55772 | 2011-03-02 |
| 1871713321 | Bois Forte Reservation Tribal Council | Clinic/Center | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
| 1972666469 | Bois Forte Medical Clinic | Clinic/Center | 5219 St John Dr, Nett Lake, MN 55772 | 2006-12-18 |
| 1073530150 | Bois Forte Reservation Tribal Government | Family Medicine | 5219 St. John Dr, Nett Lake, MN 55772 | 2006-07-16 |
| 1649270901 | Bois Forte Reservation Tribal Council | Community/Behavioral Health | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2005-07-28 |
| 1912170549 | Peggy J Hiestand Harri | Dietitian, Registered | 13071 Nett Lake Rd, Nett Lake, MN 55772 | 2008-04-03 |
| 1255815387 | Bois Forte Reservation Tribal Council | Non-emergency Medical Transport (VAN) | 5344 Lake Shore Dr, Nett Lake, MN 55772-1200 | 2018-09-25 |
| 1487629002 | Andrew Thomas Jones | Dentist | 5219 St John Drive, Nett Lake, MN 55772-8232 | 2006-02-17 |
| Find all providers in zip 55772 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1841804432 | Taylor Elise Cravey | Social Worker | 2277 Highway 36 W Ste 160, Roseville, MN 55113-3830 | 2020-09-02 |
| 1659981124 | Meighan Rose Middleton | Social Worker | 6111 Nicollet Ave, Minneapolis, MN 55419-2560 | 2020-08-08 |
| 1114535200 | Jestine Amanda Dennis | Social Worker | 5701 Kentucky Ave N Ste 100, Crystal, MN 55428-3370 | 2020-07-15 |
| 1902421662 | Radias Health-hss/hnp | Social Worker | 166 4th St E Ste 200, Saint Paul, MN 55101-1474 | 2020-06-09 |
| 1316568991 | Amie Summers | Social Worker | 12301 Whitewater Dr Ste 135, Minnetonka, MN 55343-4104 | 2020-05-05 |
| 1720608854 | Muna Abdi Khalif | Social Worker | 3055 Old Highway 8 # 348, St Anthony, MN 55418-2500 | 2020-04-18 |
| 1750913687 | Kaltun Abdikarani | Social Worker | 584 10th Ave Sw, New Brighton, MN 55112-7606 | 2020-02-08 |
| 1407487879 | Michelle Fitzpatrick | Social Worker | 7900 International Dr Ste 300, Bloomington, MN 55425-2562 | 2020-02-03 |
| 1750927042 | Collin William Stanhope | Social Worker | 2872 26th Ave S # Doord, Minneapolis, MN 55406-1529 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.