Tashena Bronson
Individual provider Active NPI Social Worker · Watertown, SD
NPI 1124606868 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1124606868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6287 (SD)
- Practice address
- 123 19TH St NE
Watertown, SD 57201-2823 - Phone
- (605) 886-0123
- Fax
- (605) 886-5447
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125442 | IA | MD | Social Worker |
| 6287 | SD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Service Agency | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 125442 | IA | |
| Social Worker | 104100000X | 6287 | SD | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
123 19TH St NE
Watertown, SD 57201-2823
Mailing address
PO Box 1030
Watertown, SD 57201-6030
Phone (605) 886-0123
Other providers in Watertown, SD
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- Jeffrey S Brindle
- Meghan L Brink
- Dustin Lee Brinkman
- Saraya Bronson
- Brown Clinic PLLP
- Brown Pharmacy LLC
- Patricia Marie Bue
- Joni Buechler-Price
- Leanne Bunnell
All providers in Watertown, SD · Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.