Active NPI
Tutush Dagnachew Woldemariam
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1083489231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7095
- Practice address
- 2000 S Summit Ave
Sioux Falls, SD 57105-2727 - Phone
- (605) 336-0510
- Fax
- (605) 336-3779
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7095 | SD | Primary |
Addresses
Primary practice location
2000 S Summit Ave
Sioux Falls, SD 57105-2727
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
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6292 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Behavioral Healthcare | Current | Accepting new patients | |
| Southeastern Behavioral Healthcare | Past | Accepting new patients |
Locations
2000 S Summit Ave
Sioux Falls, SD 57105
Phone (605) 336-0503
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1114002573
-
- Community/Behavioral Health Agency
- Sioux Falls, SD
- NPI 1689948317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1083489231",
"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",
"fax_number": "605-336-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S SUMMIT AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052727",
"telephone_number": "605-336-0510",
"fax_number": "605-336-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLDEMARIAM",
"first_name": "TUTUSH",
"middle_name": "DAGNACHEW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-17",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "7095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.