National Provider Identifier Database

SANDRA M IVERSON, LICSW – NPI #1730339326
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.


Contact Information

SANDRA M IVERSON, LICSW
4624 154TH AVE NW
WILLISTON, ND58801
Phone: 701-651-6352
Fax:
Website:
Specialty Taxonomy Code
* Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for SANDRA M IVERSON

NPI Number 1730339326
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 09/19/2008
Last updated 10/20/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • ND License #: 4265
  • ND Medicaid: 54516
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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