Suzanne Darlene Greene, LCSW
Individual provider Active NPI Clinical Social Worker · Rapid City, SD
NPI 1013927664 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1013927664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC7959 (ME)
- Practice address
- 810 Mountain View Rd
Rapid City, SD 57702-2520 - Phone
- (605) 791-4665
- Fax
- (605) 791-4666
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
810 Mountain View Rd
Rapid City, SD 57702-2520
Phone (605) 791-4665
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130121000068 | SD | Practitioner - Clinical Social Worker | 0547363624 |
Reassigns benefits to 1 organization Practice locations: Rapid City, SD; Custer, SD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7959 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scovel Psychological and Counseling Services, LTD | Current |
Accepting new patients | |
| Holec and Young Eye Care, LLP | Past | Accepting new patients | |
| Stephen Greene, PH.D. PC | Past | Accepting new patients |
Locations
2902 W Main St
Ste 2
Rapid City, SD 57702
Phone (605) 721-8822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3178 | SD | |
| Clinical Social Worker | 1041C0700X | LC7959 | ME | Yes |
Addresses
Primary practice location
810 Mountain View Rd
Rapid City, SD 57702-2520
Mailing address
PO Box 3022
Custer, SD 57730
Phone (207) 649-4047
Other practice location 1
1369 Montgomery
PO Box 3022
Custer, SD 57730
Phone (207) 649-4047
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013927664 | Medicaid | SD |
Other names
- Suzanne White
Other providers in Rapid City, SD
- Great Plains Tribal Chairmen'S Health Board
- Green Bakers Is the Place to Be
- Amy Lynne Green
- Christina Green
- Sharon Vincentine Green
- Jill Greenfield
- Lindsay Greenfield
- Greg a Hanson DDS Prof LLC
- Greg Swenson, PHD, Inc.
- Gregory Howard, PH.D., CSW-Pip, Inc.
All providers in Rapid City, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.