Healthcare Provider Details

I. General information

NPI: 1992287957
Provider Name (Legal Business Name): JAMIE LYNN SEHRT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 151
NORTHWOOD ND
58267-0151
US

IV. Provider business mailing address

PO BOX 151
NORTHWOOD ND
58267-0151
US

V. Phone/Fax

Practice location:
  • Phone: 701-330-9335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4188
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: