Individual provider Active NPI

Bryan M Satterwhite, MSW, CSW, PIP, QMHP

  • Clinical Social Worker
  • Black Hawk, SD
National Provider Identifier
1154816841
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6121 Issued in SD
Practice address
4733 E Elmwood CT
Black Hawk, SD 57718-9768
Phone
(605) 430-1913
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 6121 SD Primary

Addresses

Primary practice location

4733 E Elmwood CT
Black Hawk, SD 57718-9768

Mailing address

4733 E Elmwood CT
Black Hawk, SD 57718-9768
Phone (605) 430-1913

Other practice location 1

660 Flormann St Ste 20
Rapid City, SD 57701-4727
Phone (605) 315-7156

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
I20220912003190 SD Practitioner - Clinical Social Worker 1153706221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Satterwhite Therapy Services LLC 3 clinicians

Practice addresses (Care Compare)

821 Columbus St
Suite 5
Rapid City, SD 57701-4810
Phone (605) 315-7156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6121SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Satterwhite Therapy Services LLC CurrentSince May 6, 2022 Accepting new patients
Satterwhite Therapy Services LLC CurrentSince Sep 24, 2023 Accepting new patients
Catholic Social Services PastSince Jun 5, 2016 Accepting new patients

Locations

660 Flormann St
Ste 20
Rapid City, SD 57701
Phone (605) 315-7156

821 Columbus St
Ste 5
Rapid City, SD 57701
Phone (605) 307-5094

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1154816841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 E ELMWOOD CT",
            "city": "BLACK HAWK",
            "state": "SD",
            "postal_code": "577189768",
            "telephone_number": "605-430-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 E ELMWOOD CT",
            "city": "BLACK HAWK",
            "state": "SD",
            "postal_code": "577189768",
            "telephone_number": "605-430-1913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Flormann St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577014727",
            "country_code": "US",
            "telephone_number": "605-315-7156",
            "fax_number": "605-741-4198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATTERWHITE",
        "first_name": "BRYAN",
        "middle_name": "M",
        "credential": "MSW, CSW, PIP, QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Hawk, SD

Sources for this page

Verify at the official NPI Registry.