Debra R Brockberg, LCSW – Social Worker

Key facts

NPI: 1306126404
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 2943 (SD)
Practice address: 904 W 23Rd St; Ste 101
Heartland Psychological Services
Yankton, SD 57078-1206
Phone: (605) 665-0841
Fax: (605) 665-0096
NPI assigned: Aug 19, 2011
Sex: Female
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.

Heartland Psychological Services Mental Health Counselor · Yankton, SD · NPI 1568708683

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
2943	SD	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Heartland Psychological Services		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	2943	SD	Yes

Addresses

Primary practice location

904 W 23Rd St; Ste 101
Heartland Psychological Services
Yankton, SD 57078-1206

Mailing address

904 W 23Rd St; Ste 101
Heartland Psychological Services
Yankton, SD 57078-1206
Phone (605) 665-0841

Other names

Debra R Anderson Former name

Other providers in Yankton, SD

All providers in Yankton, 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 Aug 19, 2011. 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.