Healthcare Provider Details

I. General information

NPI: 1982319794
Provider Name (Legal Business Name): CASSIE B TOFTELAND LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 01/16/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 31ST AVE SW
MINOT ND
58701-7028
US

IV. Provider business mailing address

925 31ST AVE SW
MINOT ND
58701-7028
US

V. Phone/Fax

Practice location:
  • Phone: 701-833-0547
  • Fax: 701-852-6239
Mailing address:
  • Phone: 701-833-0547
  • Fax: 701-852-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6327
License Number StateND

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: