Active NPI
Jeanne Marie Bunkers, MSW LCSW PIP
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1366435109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1755
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1755 | SD | MD | Clinical Social Worker |
| 1753 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gleason-Wilson, Inc. | Current | 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.
-
- Clinical Social Worker
- Sioux Falls, SD
- NPI 1750400537
-
- Professional Counselor
- Sioux Falls, SD
- NPI 1255450052
-
- Psychologist
- Sioux Falls, SD
- NPI 1366563215
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.