Individual provider Active NPI

Ondrea Kae Patzlaff, LCSW

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1215523097
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4857 Issued in SD
Practice address
801 N Sycamore Ave
Sioux Falls, SD 57110-5746
Phone
(605) 334-6004
Fax
(605) 335-2776
NPI assigned
Dec 16, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 4857 SD Primary

Addresses

Primary practice location

801 N Sycamore Ave
Sioux Falls, SD 57110-5746

Mailing address

801 N Sycamore Ave
Sioux Falls, SD 57110-5746
Phone (605) 334-6004

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ondrea.patzlaff@chssd.org Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4857SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Home Society of South Dakota Clinical CurrentSince Dec 22, 2020 Accepting new patients
Childrens Home Society of South Dakota PastSince Dec 22, 2020 Accepting new patients

Locations

801 N Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 334-6004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1215523097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105746",
            "telephone_number": "605-334-6004",
            "fax_number": "605-335-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105746",
            "telephone_number": "605-334-6004",
            "fax_number": "605-335-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZLAFF",
        "first_name": "ONDREA",
        "middle_name": "KAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ondrea.patzlaff@chssd.org",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 N Sycamore Ave",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571105746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.