Active NPI
Danica Zomer, MSW, CSW
- Clinical Social Worker
- Plankinton, SD
National Provider Identifier
1164027397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4834
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4834 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Mindset Counseling LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.