AMANDA HAVELANGE
NPI 1124677406
Social Worker in Grand Forks, ND

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment
151 S 4TH ST STE 401, GRAND FORKS, ND 58201(701) 795-3000 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2024, Sep 9, 2019 (2 updates tracked since 2019).

About Amanda Havelange NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA HAVELANGE (NPI 1124677406) is an individual social worker in Grand Forks, North Dakota, licensed in North Dakota (5740) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124677406
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAMANDA HAVELANGE
Location Address151 S 4TH ST STE 401Grand Forks, ND 58201-4715
Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 9, 2019
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1124677406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ND · 5740
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
151 S 4TH ST STE 401, Grand Forks, ND 58201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Havelange is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436515178
PECOS Enrollment IDI20230522003152
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Amanda Havelange reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Residential Treatment Facility, Emotionally Disturbed Children
151 S 4TH ST STE 401
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 79 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
2624 9TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Southeast Human Service Center
  • 91 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
200 HIGHWAY 2 W
Devils Lake, ND 58301
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Lake Region Human Service Center
  • 69 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
520 3RD ST NW
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: South Central Human Service Center
  • 73 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1237 W DIVIDE AVE, STE 5
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: West Central Human Service Center
  • 89 clinicians in this Medicare group
Clinic/Center
1015 S BROADWAY STE 18
Minot, ND 58701
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: North Central Human Service Center
  • 78 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1463 I94 BUSINESS LOOP E
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Badlands Human Service Center
  • 79 clinicians in this Medicare group
Adult Mental Health
316 2ND AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Northwest Human Service Center
  • 69 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
25 services25 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
151 S 4TH ST STE 401
GRAND FORKS, ND 58201
Case Manager/Care Coordinator
151 S 4TH ST STE 401
GRAND FORKS, ND 58201
Peer Specialist
151 S 4TH ST STE 401
GRAND FORKS, ND 58201
Social Worker (Clinical)
151 S 4TH ST STE 401
GRAND FORKS, ND 58201
Technician, Other
151 S 4TH ST STE 401
GRAND FORKS, ND 58201
Case Manager/Care Coordinator
151 S 4TH ST STE 401
GRAND FORKS, ND 58201
Specialist
151 S 4TH ST STE 401
GRAND FORKS, ND 58201
Specialist
151 S 4TH ST STE 401
GRAND FORKS, ND 58201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Havelange's NPI number?

The NPI number for Amanda Havelange is 1124677406. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Amanda Havelange located?

Amanda Havelange practices at 151 S 4th St Ste 401, Grand Forks, ND 58201. The listed phone number is (701) 795-3000.

What is Amanda Havelange's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Amanda Havelange enrolled in Medicare?

Yes. Amanda Havelange is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Havelange's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Havelange reassigns Medicare benefits to 8 organizations: Northeast Human Service Center (Grand Forks, ND), Southeast Behavioral Health Clinic (Fargo, ND), Lake Region Behavioral Health Clinic (Devils Lake, ND), South Central Behavioral Health Clinic (Jamestown, ND), West Central Behavioral Health Clinic (Bismarck, ND) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Havelange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Havelange accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Amanda Havelange as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Havelange was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.