Cathleen Anne Cronk, CSW
Individual provider Active NPI Social Worker · Sioux Falls, SD
NPI 1366865768 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1366865768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 3188 (SD)
- Practice address
- 2501 W 22ND Street
Sioux Falls Vamc
Sioux Falls, SD 57117 - Phone
- (605) 336-3230
- NPI assigned
- Jan 22, 2014
- 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 |
|---|---|---|---|
| 3188 | SD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3188 | SD | Yes |
Addresses
Primary practice location
2501 W 22ND Street
Sioux Falls Vamc
Sioux Falls, SD 57117
Mailing address
2840 E Old Orchard TRL
Sioux Falls, SD 57103-4351
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All providers in Sioux Falls, 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 Jan 22, 2014. 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.