Individual provider Active NPI

Jeanne Marie Bunkers, MSW LCSW PIP

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1366435109
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1755 Issued in SD
Practice address
5010 S Broadband LN Ste 100
Sioux Falls, SD 57108-2329
Phone
(605) 271-1348
Fax
(605) 610-1477
NPI assigned
Aug 26, 2005
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1755 SD Primary

Addresses

Primary practice location

5010 S Broadband LN Ste 100
Sioux Falls, SD 57108-2329

Mailing address

5010 S Broadband LN Ste 100
Sioux Falls, SD 57108-2329
Phone (605) 271-1348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060407000313 SD Practitioner - Clinical Social Worker 9830108687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2700
Phone (605) 271-1348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1755SDMDClinical Social Worker
1753SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gleason-Wilson, Inc. CurrentSince Mar 30, 2025 Accepting new patients
Sandbulte Inc Past Accepting new patients

Locations

5010 S Broadband Ln
Ste 100
Sioux Falls, SD 57108
Phone (605) 271-1348

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1366435109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 S BROADBAND LN STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082329",
            "telephone_number": "605-271-1348",
            "fax_number": "605-610-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S BROADBAND LN STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082329",
            "telephone_number": "605-271-1348",
            "fax_number": "605-610-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKERS",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "MSW LCSW PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.