| Katie Jo Jorgenson, LAC, LMSW | |
|
200 Highway 2 W, Devils Lake, ND 58301-3532 | |
| (701) 665-2200 | |
| (701) 665-2300 |
| Full Name | Katie Jo Jorgenson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 200 Highway 2 W, Devils Lake, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912399262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1745 (North Dakota) | Primary |
| 104100000X | Social Worker | 5970 (North Dakota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spirit Lake Tribe | 2466550801 | 22 |
| Entity Name | Spirit Lake Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114472891 PECOS PAC ID: 2466550801 Enrollment ID: O20161206002392 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Jo Jorgenson, LAC, LMSW 200 Highway 2 W, Devils Lake, ND 58301-3532 Ph: (701) 665-2200 | Katie Jo Jorgenson, LAC, LMSW 200 Highway 2 W, Devils Lake, ND 58301-3532 Ph: (701) 665-2200 |
James E Lang, LBSW/LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: Lake Region Human Services, 200 Hwy 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |
Emily E Larsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |
Candace Maria Azure, Counselor Medicare: May Accept Medicare Assignments Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 |
Mrs. Adalia M Mccrea, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Co Lake Region Human Service Center, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |
Ava Schmidt-boknecht, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |
Chelsey Simonsen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |
Cindy Kilmer, BMOD, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |