Susan Wicks, CSW-PIP
Individual provider Active NPI Clinical Social Worker · Sioux Falls, SD
NPI 1245359504 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1245359504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2400 W 49TH St
Sioux Falls, SD 57105-6581 - Phone
- (605) 312-8700
- Fax
- (605) 312-8701
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
1500 W 22ND St
Sioux Falls, SD 57105-1503
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
Hospital & facility affiliations
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 75.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.53
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080326000506 | SD | Practitioner - Clinical Social Worker | 0941386379 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Medical Center | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients |
Locations
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
2400 W 49th St
Sioux Falls, SD 57105
Phone (605) 312-8700
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
2400 W 49TH St
Sioux Falls, SD 57105-6581
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
NPI Registry JSON
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1245359504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W 49TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056581",
"telephone_number": "605-312-8700",
"fax_number": "605-312-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKS",
"first_name": "SUSAN",
"credential": "CSW-PIP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
- Laura Whittington
- Kevin David Whittle
- Morgan Kelsey Whittle
- James H Wick
- Andrea Wickersham
- Kelly Wiebenga
- Madison Marie Wiebers
- Kyle Wiebesiek
- Jerome Donald Wiederrich
- Katie Wiederrich
All providers in Sioux Falls, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.