Healthcare Provider Details

I. General information

NPI: 1790236925
Provider Name (Legal Business Name): ROBIN FERREN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16351 I94
SENTINEL BUTTE ND
58654-9500
US

IV. Provider business mailing address

16351 I94
SENTINEL BUTTE ND
58654-9500
US

V. Phone/Fax

Practice location:
  • Phone: 701-872-3745
  • Fax: 701-872-3748
Mailing address:
  • Phone: 701-872-3745
  • Fax: 701-872-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number5375
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5375
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number5375
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: