Individual provider Active NPI

Diana Smallwood, LCSW-PIP

  • Clinical Social Worker
  • Yankton, SD
National Provider Identifier
1114695806
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6673 Issued in SD
Practice address
1700 Burleigh St
Yankton, SD 57078-2418
Phone
(605) 260-9284
Fax
(605) 260-9284
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6028 SD
Clinical Social Worker 1041C0700X 6673 SD Primary

Addresses

Primary practice location

1700 Burleigh St
Yankton, SD 57078-2418

Mailing address

1700 Burleigh St
Yankton, SD 57078-2418
Phone (605) 260-9284

Other names 1

  • Diana Kautz Former name

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
I20210921002130 SD Practitioner - Clinical Social Worker 4284031063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 Burleigh St
Yankton, SD 57078-2418
Phone (605) 260-9284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6028SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Psychological Services CurrentSince Aug 27, 2024 Accepting new patients
Family Education and Counseling Center CurrentSince Aug 10, 2025 Accepting new patients
Heartland Psychological Services PastSince Sep 1, 2021 Accepting new patients

Locations

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

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

1700 Burleigh St
Yankton, SD 57078
Phone (605) 260-9284

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

Organizations & group practices 3

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1114695806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BURLEIGH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782418",
            "telephone_number": "605-260-9284",
            "fax_number": "605-665-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BURLEIGH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782418",
            "telephone_number": "605-260-9284",
            "fax_number": "605-260-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "DIANA",
        "credential": "LCSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "6028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "KAUTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.