Haugen, Amy

Haugen, Amy is an individual health care provider with primary practice located at 511 2Nd St W Ste B , Williston ND 58801-5907. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Haugen, Amy can be contacted via phone (701) 580-7675.

Contact Information

Primary practice address
511 2Nd St W Ste B Williston ND 58801-5907
Phone: (701) 580-7675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 4108 North Dakota
Behavioral Health & Social Service Providers / Social Worker 104100000X 4108 North Dakota

Profile Details

NPI number 1023429792
LBN Legal business name Haugen, Amy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2014
Last updated Sep 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023429792 NPPES
North Dakota MEDICAID 79333

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