Ellen Durkin
Individual provider Active NPI Clinical Social Worker · Lower Brule, SD
NPI 1346795663 · NPPES record last updated Aug 16, 2016
Key facts
- NPI
- 1346795663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2101 (SD)
- Practice address
- 187 Oyate Cir
Lower Brule, SD 57548-8500 - Phone
- (605) 473-8029
- NPI assigned
- Aug 16, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2101 | SD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2101 | SD | Yes |
Addresses
Primary practice location
187 Oyate Cir
Lower Brule, SD 57548-8500
Mailing address
187 Oyate Cir
Lower Brule, SD 57548-8500
Phone (605) 473-8029
Other providers in Lower Brule, SD
- Jesse A Abernathy
- Sayyem Hussain Akbar
- Tessah Renee Bien
- Iva Jean Bolman
- Roberta Jo Ducheneaux-Sinclair
- Helen H. Grant
- Steve Gray
- Indian Health Services
- Desiree Nolene Laroche
- Lower Brule Ambulance
All providers in Lower Brule, 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 Aug 16, 2016. 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.