Distant Thunder Wellness

Clinical Social Worker · Bismarck, ND

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At a glance

4719 Shelburne St Ste 4, Bismarck, ND 58503-5677

NPPES record updated Sep 1, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4719 Shelburne St Ste 4
Bismarck, ND 58503-5677
Professional details: NPI, taxonomy & registry record
NPI1588573125
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Sep 1, 2026
Record updated
Sep 1, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4719 Shelburne St Ste 4
Bismarck, ND 58503-5677
Phone
(701) 319-2014
Mailing address
4719 SHELBURNE ST STE 4

BISMARCK, ND 585035677
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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