Healthcare Provider Details

I. General information

NPI: 1982944401
Provider Name (Legal Business Name): NAOMI MICHEL LCSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NAOMI MARKS LMSW, LGSW

II. Dates (important events)

Enumeration Date: 02/20/2013
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3953 4TH ST E
WEST FARGO ND
58078-2865
US

IV. Provider business mailing address

3953 4TH ST E
WEST FARGO ND
58078-2865
US

V. Phone/Fax

Practice location:
  • Phone: 701-532-2683
  • Fax:
Mailing address:
  • Phone: 701-532-2683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number31048
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6147
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: