Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Jo Burgad-Wifall, LCSW

Individual provider Clinical Social Worker · NPI 1568836781

Courtney Jo Burgad-Wifall, LCSW is a Clinical Social Worker in Bismarck, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3100 N 11th St Ste 2
Bismarck, ND 58503-1210
Phone: (701) 751-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1928 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4979 (ND)

Record details

NPI number1568836781
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 27, 2015
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

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