DEBBIE ANN OBERG LICSW, CDMS
NPI 1164512265
Social Worker in Grand Forks, ND

NPI Status: Active since October 13, 2006

Contact Information

3535 S 31ST ST STE 201
GRAND FORKS, ND
ZIP 58201
Phone: (701) 780-6821
Fax: (701) 780-1973

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  • Individual
  • Female
  • Years of Experience 27
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DEBBIE OBERG

This page provides the complete NPI Profile along with additional information for Debbie Oberg, a provider established in Grand Forks, North Dakota with a medical specialization in Social Worker and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1164512265 assigned on October 2006. The practitioner's primary taxonomy code is 104100000X with license number 2977 (ND). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1164512265
Provider Name
DEBBIE ANN OBERG LICSW, CDMS
Gender
Female
Entity Type
Individual
Location Address
3535 S 31ST ST STE 201 GRAND FORKS, ND 58201
Location Phone
(701) 780-6821
Location Fax
(701) 780-1973
Mailing Address
2217 9TH ST SE EAST GRAND FORKS, MN 56721
Mailing Phone
(701) 795-3099
Medical School Name
OTHER
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
10-13-2006
Last Update Date
11-25-2019
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A social worker like Debbie Oberg helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
2977
License State
ND
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
  • Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
  • Altru Prime by Medica Bronze Share - HMO
  • Altru Prime by Medica Expanded Bronze Standard - HMO
  • Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
  • Altru Prime by Medica Gold Share - HMO
  • Altru Prime by Medica Gold Standard - HMO
  • Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
  • Altru Prime by Medica Silver Share - HMO
  • Altru Prime by Medica Silver Standard - HMO
  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Essentia Choice Care with Medica Gold Standard - HMO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Silver Share - HMO
  • Essentia Choice Care with Medica Silver Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Debbie Oberg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Debbie Oberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 941434567

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20131014000881

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DEBBIE ANN OBERG LICSW, CDMS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164512265, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 0 + 1 + 4 + 2 + 1 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164512265.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Counselor (Professional)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical Child & Adolescent)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Social Worker
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Social Worker (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Counselor
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Counselor (Professional)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164512265, enumerated as an "individual" on October 13, 2006.

The provider is located at 3535 S 31ST ST STE 201 GRAND FORKS, ND 58201 and the phone number is (701) 780-6821.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica and. Please consult your insurance carrier or call the provider to verify.