Individual provider Active NPI

Danica Zomer, MSW, CSW

  • Clinical Social Worker
  • Plankinton, SD
National Provider Identifier
1164027397
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4834 Issued in SD
Practice address
110 W. State St.
Plankinton, SD 57368
Phone
(605) 942-7332
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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 4834 SD Primary

Addresses

Primary practice location

110 W. State St.
Plankinton, SD 57368

Mailing address

27442 391St Ave
Corsica, SD 57328-5421
Phone (605) 680-9415

Other practice location 1

115A W 15th Ave
Mitchell, SD 57301-1350
Phone (605) 942-3772

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
I20240516003217 SD Practitioner - Clinical Social Worker 9931540259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 E Main St
Corsica, SD 57328-2283
Phone (605) 416-9890

PO Box
Suite 91
Corsica, SD 57328-0091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4834SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Mindset Counseling LLC CurrentSince Apr 1, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1164027397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27442 391ST AVE",
            "city": "CORSICA",
            "state": "SD",
            "postal_code": "573285421",
            "telephone_number": "605-680-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W. STATE ST.",
            "city": "PLANKINTON",
            "state": "SD",
            "postal_code": "57368",
            "telephone_number": "605-942-7332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115A W 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573011350",
            "country_code": "US",
            "telephone_number": "605-942-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOMER",
        "first_name": "DANICA",
        "credential": "MSW, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plankinton, SD

Sources for this page

Verify at the official NPI Registry.