Individual provider Active NPI

Loree Siegfried, CSW-PIP, LCSW

  • Clinical Social Worker
  • Spearfish, SD
National Provider Identifier
1114153772
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3141 Issued in SD
Practice address
1420 North Ave Ste 5
Spearfish, SD 57783-1543
Phone
(605) 939-0296
Fax
(605) 939-0296
NPI assigned
Jun 9, 2009
Last updated
Aug 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 3141 SD Primary

Addresses

Primary practice location

1420 North Ave Ste 5
Spearfish, SD 57783-1543

Mailing address

19262 137TH Ave
Vale, SD 57788-8100
Phone (605) 939-0296

Other names 1

  • Loree Greco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3141SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Giving Goat LLC Clinical CurrentSince Oct 15, 2023 Accepting new patients

Locations

1420 North Ave
Ste 5
Spearfish, SD 57783
Phone (605) 559-0381

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1114153772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19262 137TH AVE",
            "city": "VALE",
            "state": "SD",
            "postal_code": "577888100",
            "telephone_number": "605-939-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NORTH AVE STE 5",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831543",
            "telephone_number": "605-939-0296",
            "fax_number": "605-939-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGFRIED",
        "first_name": "LOREE",
        "credential": "CSW-PIP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREE",
            "last_name": "GRECO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.