Individual provider Active NPI

Elizabeth Ostolozaga, CSW-PIP

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1194022970
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3634 Issued in SD
Practice address
2525 W Main St Ste 303A6
Rapid City, SD 57702
Phone
(605) 440-2287
Fax
(605) 791-2086
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12682 NY
Social Worker 104100000X 079673 NY
Clinical Social Worker 1041C0700X 3634 SD Primary

Addresses

Primary practice location

2525 W Main St Ste 303A6
Rapid City, SD 57702

Mailing address

2525 W Main St Ste 303A6
Rapid City, SD 57702-2437
Phone (605) 440-2287

Other practice location 1

945 Houston Ave
Hot Springs, SD 57747-2821
Phone (605) 440-2287

Other practice location 2

3 Canyon View Cir
Hot Springs, SD 57747-1700
Phone (605) 745-6222

Other practice location 3

3 Canyon View Cir
Hot Springs, SD 57747-1700
Phone (605) 745-6222

Other practice location 4

11 N 5th St
Custer, SD 57730-6801
Phone (605) 440-2287

Other identifiers 1

IdentifierTypeStateIssuer
2013208MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12682NYMDAddiction (Substance Use Disorder) Counselor
079673NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Center for Healing and Advancement of Psychotherapy PLC Clinical Past Accepting new patients
Behavior Management Services Past Accepting new patients

Organizations & group practices 2

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1194022970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 303A6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022437",
            "telephone_number": "605-440-2287",
            "fax_number": "605-791-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 303A6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57702",
            "telephone_number": "605-440-2287",
            "fax_number": "605-791-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Houston Ave",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "SD",
            "postal_code": "577472821",
            "country_code": "US",
            "telephone_number": "605-440-2287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Canyon View Cir",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "SD",
            "postal_code": "577471700",
            "country_code": "US",
            "telephone_number": "605-745-6222",
            "fax_number": "605-745-4930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Canyon View Cir",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "SD",
            "postal_code": "577471700",
            "country_code": "US",
            "telephone_number": "605-745-6222",
            "fax_number": "605-745-4930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Custer",
            "state": "SD",
            "postal_code": "577306801",
            "country_code": "US",
            "telephone_number": "605-440-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTOLOZAGA",
        "first_name": "ELIZABETH",
        "credential": "CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "12682",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079673",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013208",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.