Samson Wayne Anderson, CSW – Social Worker

Key facts

NPI: 1265003115
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 5252 (SD)
Practice address: 350 Elk St
Rapid City, SD 57701-7351
Phone: (605) 343-7262
NPI assigned: Jul 1, 2021
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Behavior Management Systems, Inc. Community/Behavioral Health Agency · Rapid City, SD · NPI 1295878122

NPD

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
25547	KY	MD	Social Worker
5252	SD	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Behavior Management Systems, Inc.		Current since Jul 4, 2021	Accepting new patients

Locations

350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	25547	KY
Social Worker	104100000X	5252	SD	Yes

Addresses

Primary practice location

350 Elk St
Rapid City, SD 57701-7351

Mailing address

7051 Freedom LN Apt 203
Summerset, SD 57718-8729
Phone (606) 620-2021

Other providers in Rapid City, SD

All providers in Rapid City, SD · 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 Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.