MEDICARE: GENEVA LAVALLIE LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	4412	ND

General Provider Information

NPI Number	:	1013300540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVA LAVALLIE LSW

Provider Business Mailing Address
First Line	:	PO BOX 1970
Second Line	:
City	:	BELCOURT
State	:	ND
Zip	:	58316-1970
Country	:	US
Telephone Number	:	701-477-0525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 WALNUT ST E STE 5
Second Line	:
City	:	DEVILS LAKE
State	:	ND
Zip	:	58301-3411
Country	:	US
Telephone Number	:	701-662-4913
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	03/09/2015

Similar Medicare Providers

1881687135 — DR. NATHAN LYLE FRITZ D.C.
Practice Location Address:

1820 WALNUT STREET EAST , SUITE 4
DEVILS LAKE, ND
58301-3411

Practice Phone: 704-662-6555
Practice Fax: 701-662-6557

1780840223 — CENTER FOR SOLUTIONS, P.C.
Practice Location Address:

1820 WALNUT ST E , SUITE #7
DEVILS LAKE, ND
58301-3411

Practice Phone: 701-665-2140
Practice Fax: 701-665-2153

1669793352 — ASHLEY EVERSON LSW
Practice Location Address:

1820 WALNUT ST E STE 5
DEVILS LAKE, ND
58301-3411

Practice Phone: 701-662-4913
Practice Fax: 701-662-4963

1285930735 — DHARMA RAJ PANTHA LAC, LPC
Practice Location Address:

1820 WALNUT ST E , SUIT # 7
DEVILS LAKE, ND
58301-3411

Practice Phone: 701-665-2149
Practice Fax: 701-665-2153

1033555420 — ERIN LEE SYKORA OT
Practice Location Address:

1820 WALNUT ST E , SUITE #7
DEVILS LAKE, ND
58301-3411

Practice Phone: 701-665-2140
Practice Fax:

1134538770 — BRENDA SEVERSON
Practice Location Address:

1820 WALNUT ST E STE 5
DEVILS LAKE, ND
58301-3411

Practice Phone: 701-662-4913
Practice Fax: 701-662-4963

Directions to “ GENEVA LAVALLIE LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.