Individual provider Active NPI

Debra Ann Hughes, CSW-PIP

  • Clinical Social Worker
  • Ellsworth Afb, SD
National Provider Identifier
1124363601
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3174 Issued in SD
Practice address
2900 Doolittle Dr BLDG 6000
Ellsworth Afb, SD 57706-4821
Phone
(605) 385-3656
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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 3174 SD Primary

Addresses

Primary practice location

2900 Doolittle Dr BLDG 6000
Ellsworth Afb, SD 57706-4821

Mailing address

937 Allen Ave
Rapid City, SD 57701-0813
Phone (605) 342-4789

Other identifiers 4

IdentifierTypeStateIssuer
466017085MedicaidSD
466017085OtherSDBLUE CROSS BLUE SHIELD
3174OtherSDLIC LCSW
466017085OtherSDTRICARE

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
I20250210000348 SD Practitioner - Clinical Social Worker 8123272887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3174SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Therapy Services LLC Clinical CurrentSince Feb 1, 2019 Accepting new patients

Locations

2040 W Main St
Ste 214
Rapid City, SD 57702
Phone (605) 786-7797

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2040 W Main St
Suite 214
Rapid City, SD 57702-2446
Phone (605) 786-7797

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1124363601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 ALLEN AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010813",
            "telephone_number": "605-342-4789",
            "fax_number": "605-399-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOOLITTLE DR BLDG 6000",
            "city": "ELLSWORTH AFB",
            "state": "SD",
            "postal_code": "577064821",
            "telephone_number": "605-385-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466017085",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "466017085",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC LCSW",
            "identifier": "3174",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "466017085",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth Afb, SD

Sources for this page

Verify at the official NPI Registry.