Todd Wayne Herrboldt, CSW-PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2210 W Brown PL
Sioux Falls, SD 57105-6582

Phone

(605) 336-1974

Fax

(605) 336-9031

NPI assigned

Jan 26, 2007

Last updated

Mar 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Todd Herrboldt LLC

  • Professional Counselor
  • Sioux Falls, SD
  • NPI 1477366748
  NPD Authorized official
• Connie L Nelson Inc

  • Professional Counselor
  • Sioux Falls, SD
  • NPI 1073310140
  NPD (past)
• Sandbulte Inc

  • Psychologist
  • Sioux Falls, SD
  • NPI 1366563215
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1144376567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W BROWN PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056582",
            "telephone_number": "605-336-1974",
            "fax_number": "605-336-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 W BROWN PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056582",
            "telephone_number": "605-336-1974",
            "fax_number": "605-336-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRBOLDT",
        "first_name": "TODD",
        "middle_name": "WAYNE",
        "credential": "CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6570570",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin A Hermsen, CRNA
• Yarillen Hernandez Shupe
• Heroes Home Care of South Dakota
• Mikayla Lynn Heronimus, PA-C
• Reid Matthew Herrboldt, ATC
• Rebecca Ann Herrmann, LMT
• Danielle Lavon Hertel
• Jakob Gabriel Hertel, CNP
• Olivia Lynn Hertel, CNP
• Rebecca Ann Hess, MSW, CSW

• Clinical Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.