Alyce Ann Clasen, LCSW, LISW

Individual provider Active NPI Clinical Social Worker · Fort Meade, SD

NPI 1225219793 · NPPES record last updated Mar 18, 2024

Key facts

NPI
1225219793
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
31 (NE)
Practice address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone
(605) 745-2000
Fax
(605) 745-2878
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0003IAMDClinical Social Worker
31NEMDClinical Social Worker
0904016045VAMDClinical Social Worker
457NEMDInternal Medicine Physician
206NEMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 457 NE
Clinical Social Worker 1041C0700X 206 NE
Clinical Social Worker 1041C0700X 0003 IA
Clinical Social Worker 1041C0700X 0904016045 VA
Clinical Social Worker 1041C0700X 31 NE Yes

Addresses

Primary practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Mailing address

2039 Albany Ave
Hot Springs, SD 57747-2022
Phone (605) 891-0913

Other names

  • Alyce Ann Giles Clasen Professional name

Other providers in Fort Meade, SD

All providers in Fort Meade, SD · Clinical Social Worker in South Dakota

Sources for this page

Verify at the official NPI Registry.