Active NPI
Staci Danelle Jonson, LCSW
- Social Worker
- Rapid City, SD
National Provider Identifier
1174047724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3383
- Practice address
- 350 Elk St
Rapid City, SD 57701-7351 - Phone
- (605) 343-7262
- Fax
- (605) 343-7293
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 3383 | SD | Primary |
Addresses
Primary practice location
350 Elk St
Rapid City, SD 57701-7351
Mailing address
350 Elk St
Rapid City, SD 57701-7351
Phone (605) 343-7262
Other names 1
- Ms. Staci Danelle Pulse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3383 | SD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174047724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ELK ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017351",
"telephone_number": "605-343-7262",
"fax_number": "605-343-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ELK ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017351",
"telephone_number": "605-343-7262",
"fax_number": "605-343-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONSON",
"first_name": "STACI",
"middle_name": "DANELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "3383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACI",
"last_name": "PULSE",
"middle_name": "DANELLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.