Larry Gerard Dauksavage, LCSW | |
151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | |
(701) 795-3000 | |
(701) 795-3050 |
Full Name | Larry Gerard Dauksavage |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 151 S 4th St, Grand Forks, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982773453 | NPI | - | NPPES |
054519 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3176 (North Dakota) | Primary |
104100000X | Social Worker | 3176 (North Dakota) | Secondary |
Entity Name | Lake Region Human Service Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669411930 PECOS PAC ID: 8426941436 Enrollment ID: O20040204000457 |
Entity Name | South Central Human Service Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225075906 PECOS PAC ID: 2365420262 Enrollment ID: O20040708000481 |
Entity Name | Northeast Human Service Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366496341 PECOS PAC ID: 1658341441 Enrollment ID: O20040729000033 |
Entity Name | Northwest Human Service Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770524613 PECOS PAC ID: 4183683196 Enrollment ID: O20041006000330 |
Mailing Address | Practice Location Address |
---|---|
Larry Gerard Dauksavage, LCSW 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 Ph: (701) 795-3000 | Larry Gerard Dauksavage, LCSW 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 Ph: (701) 795-3000 |
Kayla J. Norton, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 151 S 4th St Ste 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050 | |
Lacy Suby, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2300 Library Cir, Grand Forks, ND 58201 Phone: 701-757-0477 Fax: 701-772-1763 | |
Mrs. Diane Kay Baumbach, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2755 10th Ave N, Grand Forks, ND 58203 Phone: 701-738-0888 Fax: 701-757-1431 | |
Mr. Jeff Williams, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1615 17th Ave S, Grand Forks, ND 58201 Phone: 701-795-8550 Fax: 701-746-5523 | |
Courtney Haviland, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 151 S 4th St, Grand Forks, ND 58201 Phone: 701-795-3000 | |
Ms. Rachel A Ambers, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050 | |
Katherine Michelle Francis, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973 |