Tamara Michelle Ulmer, LPC-MH QMHP
Individual provider Active NPI Clinical Social Worker · Rapid City, SD
NPI 1376833368 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1376833368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3413 (SD)
- Practice address
- 2902 W Main St Ste 2
Rapid City, SD 57702-8174 - Phone
- (605) 721-8822
- Fax
- (605) 721-8822
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scovel Psychological and Counseling Services LTD
Practice addresses (Care Compare)
2902 W Main St
Suite 2
Rapid City, SD 57702-8174
Phone (605) 721-8822
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150923001296 | SD | Practitioner - Clinical Social Worker | 7012224033 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2232 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scovel Psychological and Counseling Services, LTD | Current |
Accepting new patients | |
| Behavior Management Systems, Inc. | Past |
Accepting new patients |
Locations
2902 W Main St
Ste 2
Rapid City, SD 57702
Phone (605) 721-8822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2232 | SD | |
| Clinical Social Worker | 1041C0700X | 3413 | SD | Yes |
Addresses
Primary practice location
2902 W Main St Ste 2
Rapid City, SD 57702-8174
Mailing address
350 Elk St
Rapid City, SD 57701-7351
Phone (605) 343-7262
Other providers in Rapid City, SD
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- Twan'S Transport LLC
- Madison Uchytil
- Tricia L Uhlir
- Keely Krolikowski Ulmer
- Brady Umberger
- Vanessa Umberger
- Alberta Celeste Under Baggage
- Understood Therapy by Nicole Weron
- Unkenholz Family Dental, Prof LLC
All providers in Rapid City, 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 Jul 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.