Individual provider Active NPI

Danialle Diane Rose, LCSW-PIP, QMHP, LADC

  • Clinical Social Worker
  • Hot Springs, SD
National Provider Identifier
1023237831
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1738 Albany Ave
Ste 2
Hot Springs, SD 57747-2100
Phone
(605) 745-5251
Fax
(605) 745-6813
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1738 Albany Ave
Ste 2
Hot Springs, SD 57747-2100

Mailing address

1738 Albany Ave
Ste 2
Hot Springs, SD 57747-2100
Phone (605) 745-5251

Other identifiers 2

IdentifierTypeStateIssuer
21674OtherSDSIOUX VALLEY HEALTH CARE
2009923MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Management Systems, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Catholic Social Services PastSince Jun 5, 2016 Accepting new patients

Locations

3 Canyon View Cir
Hot Springs, SD 57747
Phone (605) 745-6222

350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650

Interoperability endpoints

  • Direct secure messaging: danielle.rose.p1@direct.crossroadmc.nextgenshare.com

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1023237831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 ALBANY AVE",
            "address_2": "STE 2",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472100",
            "telephone_number": "605-745-5251",
            "fax_number": "605-745-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 ALBANY AVE",
            "address_2": "STE 2",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472100",
            "telephone_number": "605-745-5251",
            "fax_number": "605-745-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DANIALLE",
        "middle_name": "DIANE",
        "credential": "LCSW-PIP, QMHP, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH CARE",
            "identifier": "21674",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009923",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

Verify at the official NPI Registry.