CORNERVINE COUNSELING, PLLC
NPI 1184423121
Social Worker - Clinical in Fargo, ND

Active since March 11, 2025
624 MAIN AVE STE 3A, FARGO, ND 58103(701) 373-1149 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2025, Mar 11, 2025 (2 updates tracked since 2025).

About Cornervine Counseling, Pllc NPPES

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

CORNERVINE COUNSELING, PLLC (NPI 1184423121) is a healthcare organization registered as a clinical in Fargo, North Dakota and active in the NPI registry since March 2025. The organization lists Amber Mutalipassi, Owner, as its authorized official.

NPPES Registry Identity

NPI1184423121
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCORNERVINE COUNSELING, PLLC
Location Address624 MAIN AVE STE 3AFargo, ND 58103-1966
Mailing Address624 Main Ave Ste 3aFargo, ND 58103-1966 · (701) 373-1149
Organization SubpartNo
Authorized OfficialAmber MutalipassiOwner · (701) 773-3381
Enumeration DateMarch 11, 2025
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1184423121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

624 MAIN AVE STE 3A, Fargo, ND 58103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
624 MAIN AVE STE 3A
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184423121, enumerated as an "organization" on March 11, 2025.

The provider is located at 624 MAIN AVE STE 3A FARGO, ND 58103 and the phone number is (701) 373-1149.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

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