Individual provider · Type 1 NPI

Courtney Leben-Perez

Clinical Social Worker · Bismarck, ND

NPI number 1972231801 Active

Practice location

4503 Coleman St Ste 203
Bismarck, ND 58503-2017

Call (701) 412-2973 Map

Fax (701) 237-4407

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XBMS00089 (ND)
Clinical Social Worker Primary 1041C0700XNone listed
Social Worker 104100000X6096 (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 1972231801

Courtney Leben-Perez's National Provider Identifier is 1972231801, issued on Aug 9, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bismarck, ND. The record was last updated on Dec 3, 2025.