| Sara Stallman, Pllc | |
|
6046 14th St S Fargo ND 58104-7340 | |
| (701) 404-0997 | |
| (701) 566-8876 |
| Full Name | Sara Stallman, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 6046 14th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Sara Stallman (PRESIDENT) |
| Authorized Official Contact | 7632294995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Stallman, Pllc 6046 14th St S Fargo ND 58104-7340 Ph: (701) 404-0997 | Sara Stallman, Pllc 6046 14th St S Fargo ND 58104-7340 Ph: (701) 404-0997 |
| NPI Number | 1093305450 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Medicare PECOS PAC ID | 3779990429 |
|---|---|
| Medicare Enrollment ID | O20210325001809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093305450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark A Rohrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700996048 PECOS PAC ID: 8224090493 Enrollment ID: I20041029000855 |
| Provider Name | Sara Stallman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912204264 PECOS PAC ID: 8022293760 Enrollment ID: I20160401000216 |
| Provider Name | Toby Mcclary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871190793 PECOS PAC ID: 5890167878 Enrollment ID: I20230221002671 |
| Provider Name | Beret E Huck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750150181 PECOS PAC ID: 2264884303 Enrollment ID: I20240115000342 |
| Provider Name | Melissa Kroh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144473307 PECOS PAC ID: 5395198196 Enrollment ID: I20240129001495 |
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