Carrie A. Burris, LICSW
NPI 1053758300ActiveIndividual· Social Worker, Clinical· Ray, ND
Social Worker, Clinical (LICSW) with Northwest Human Service Center, practicing in Ray, North Dakota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1053758300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | May 28, 2013 |
| Last updated in NPPES | May 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5619 | ND |
| Social Worker, Clinical | 1041C0700X | LCSW-35774 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ND) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Northwest Human Service CenterWilliston, ND · 12 clinicians