Healthcare Provider Details

I. General information

NPI: 1235657073
Provider Name (Legal Business Name): JAMES MICHAEL COLE MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HIGHWAY 2 W
DEVILS LAKE ND
58301
US

IV. Provider business mailing address

200 HIGHWAY 2 W
DEVILS LAKE ND
58301-3532
US

V. Phone/Fax

Practice location:
  • Phone: 701-665-2200
  • Fax:
Mailing address:
  • Phone: 701-665-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5244
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number32045
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: