AMANDA MARIE WALLACE LCSW
NPI 1952808024
Case Manager/Care Coordinator in Mohall, ND

NPI Status: Active since April 06, 2018

Contact Information

205 MAIN ST E
MOHALL, ND
ZIP 58761
Phone: (701) 756-6374

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About AMANDA WALLACE

This page provides the complete NPI Profile along with additional information for Amanda Wallace, a provider established in Mohall, North Dakota with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1952808024 assigned on April 2018. The practitioner's primary taxonomy code is 171M00000X with license number 4524 (ND). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1952808024
Provider Name
AMANDA MARIE WALLACE LCSW
Gender
Female
Entity Type
Individual
Location Address
205 MAIN ST E MOHALL, ND 58761
Location Phone
(701) 756-6374
Mailing Address
PO BOX 305 MOHALL, ND 58761
Mailing Phone
(701) 756-6374
Is Sole Proprietor?
No
Enumeration Date
04-06-2018
Last Update Date
04-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License No.
4524
License State
ND
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1473894MEDICAID (05)ND 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952808024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291021601604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 6 + 0 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1952808024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295243277RENVILLE COUNTY SOCIAL SERVICES
Organization
Case Management205 MAIN ST E
MOHALL, ND 58761
(701) 756-6374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952808024, enumerated in the NPI registry as an "individual" on April 06, 2018

The provider is located at 205 Main St E Mohall, Nd 58761 and the phone number is (701) 756-6374

The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 06, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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