Individual provider Active NPI

Stephanie Kramer, LCSW MSW

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1053854547
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3523 Issued in SD
Practice address
100 W 5TH St
Sioux Falls, SD 57104-5915
Phone
(605) 336-0503
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 3523 SD Primary

Addresses

Primary practice location

100 W 5TH St
Sioux Falls, SD 57104-5915

Mailing address

2000 S Summit Ave
Sioux Falls, SD 57105-2727
Phone (605) 336-0510

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
I20190211000909 SD Practitioner - Clinical Social Worker 1557609963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Psychological ServicesGroup PAC ID 3476535725, 6 clinicians

Practice addresses (Care Compare)

116 Market St
Vermillion, SD 57069-3040
Phone (605) 665-0841

614 Broadway Ave
Yankton, SD 57078-3516
Phone (605) 665-0841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3523SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Psychological Services CurrentSince Jan 14, 2019 Accepting new patients
Heartland Psychological Services Past Accepting new patients
Southeastern Behavioral Healthcare PastSince Dec 18, 2013 Accepting new patients
Southeastern Behavioral Healthcare Past Accepting new patients

Locations

116 Market St
Vermillion, SD 57069
Phone (605) 665-0841

614 Broadway Ave
Yankton, SD 57078
Phone (605) 661-0841

904 W 23rd St
Ste 101
Yankton, SD 57078
Phone (605) 665-0841

Organizations & group practices 4

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1053854547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S SUMMIT AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052727",
            "telephone_number": "605-336-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 5TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045915",
            "telephone_number": "605-336-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "STEPHANIE",
        "credential": "LCSW MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.