Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery Richard Luft, LICSW

Individual provider Social Worker · NPI 1053823294

Avery Richard Luft, LICSW is a Clinical Social Worker in Grand Forks, North Dakota. Qualified in 2016, 10 years ago. Practices with Center for Self-Growth and Renewal, PC, a 4-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
10
Licensed in
ND
In the registry since
2017
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

151 S 4th St Ste 401
Grand Forks, ND 58201
Phone: (701) 795-3000
Fax: (701) 795-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 — (701) 757-2100
  • 607 Towner Ave, Larimore, ND 58251-4501 — (701) 343-6418

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5172 (ND)
Social Worker Taxonomy 104100000X · Licence 5172 (ND)

Record details

NPI number1053823294
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 27, 2017
Last updated in NPPESJuly 10, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Center For Self-Growth And Renewal, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Forks