Individual provider Active NPI

Sheri Carolyn Short, CSW-PIP

  • Clinical Social Worker
  • Spearfish, SD
National Provider Identifier
1023070844
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2956 Issued in SD
Practice address
1320 North Ave
Spearfish, SD 57783-1525
Phone
(866) 802-0003
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3693 OK
Clinical Social Worker 1041C0700X 8632 SC
Clinical Social Worker 1041C0700X 15437 MN
Clinical Social Worker 1041C0700X 2956 SD Primary

Addresses

Primary practice location

1320 North Ave
Spearfish, SD 57783-1525

Mailing address

1320 North Ave
Spearfish, SD 57783-1525
Phone (866) 802-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140205000653 SD Practitioner - Clinical Social Worker 4385748615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 N Ave
Spearfish, SD 57783-1525
Phone (605) 644-7511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3693OKMDChiropractor
15437MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stronghold Counseling Services Inc CurrentSince Oct 22, 2013 Accepting new patients
Grace Counseling, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

4300 S Louise Ave
Ste 201
Sioux Falls, SD 57106
Phone (605) 334-7713

1320 North Ave
Spearfish, SD 57783
Phone (605) 334-7713

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1023070844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "866-802-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "866-802-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "SHERI",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8632",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.