Individual provider Active NPI

Carol Rose Sasse, MSW, LCSW-PIP

  • Clinical Social Worker
  • Ellsworth Afb, SD
National Provider Identifier
1124085196
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2069 Issued in SD
Practice address
2900 Doolittle Dr
Suite 1M08
Ellsworth Afb, SD 57706-4821
Phone
(605) 385-3660
Fax
(605) 385-2030
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2069SDMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2069 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

2900 Doolittle Dr
Suite 1M08
Ellsworth Afb, SD 57706-4821

Mailing address

2900 Doolittle Dr
Suite 1M08
Ellsworth Afb, SD 57706-4821
Phone (605) 385-3660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124085196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOOLITTLE DR",
            "address_2": "SUITE 1M08",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577064821",
            "telephone_number": "605-385-3660",
            "fax_number": "605-385-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOOLITTLE DR",
            "address_2": "SUITE 1M08",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577064821",
            "telephone_number": "605-385-3660",
            "fax_number": "605-385-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSE",
        "first_name": "CAROL",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth Afb, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.