Active NPI
Shane Hamilton, CSW-PIP
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1144554296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3140
- Practice address
- 6101 S Louise Ave
Sioux Falls, SD 57108 - Phone
- (605) 312-8000
- Fax
- (605) 312-8001
- NPI assigned
- Sep 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3140 | SD | Primary |
Addresses
Primary practice location
6101 S Louise Ave
Sioux Falls, SD 57108
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144554296 | Medicaid | MN | |
| 1144554296 | Medicaid | SD |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3140 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients |
Locations
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
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.
-
- Psychologist
- Sioux Falls, SD
- NPI 1396764254
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1093090342
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1427555002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1144554296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585",
"fax_number": "605-328-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 S LOUISE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57108",
"telephone_number": "605-312-8000",
"fax_number": "605-312-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "SHANE",
"name_prefix": "Mr.",
"credential": "CSW-PIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-22",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "3140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144554296",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144554296",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.