Individual provider · Type 1 NPI

Nathan Modeen, LCSW

Clinical Social Worker · Grand Forks, ND

NPI number 1174949895 Active

Practice location

1407 24th Ave S Ste 100
Grand Forks, ND 58201-6761

Mailing address

2101 Elm St N
Fargo, ND 58102-2417

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4828 (ND)

Clinical Social Worker: 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 interpers…

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About NPI 1174949895

Nathan Modeen, LCSW's National Provider Identifier is 1174949895, issued on Mar 6, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Forks, ND. The record was last updated on Dec 9, 2025.