Individual provider Active NPI

Trevor Frybarger, CSW-PIP

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1457955106
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6448 Issued in SD
Practice address
2425 E Saint Charles St Ste C
Rapid City, SD 57703-4123
Phone
(605) 517-9656
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6448 SD Primary
Social Worker 104100000X 28360 MN

Addresses

Primary practice location

2425 E Saint Charles St Ste C
Rapid City, SD 57703-4123

Mailing address

2425 E Saint Charles St Ste C
Rapid City, SD 57703-4123
Phone (605) 517-9656

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
I20231108001183 SD Practitioner - Clinical Social Worker 0244691897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Mind Wellness Current Accepting new patients
Behavior Management Systems, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Integrate Wellness LLC Clinical CurrentSince May 31, 2026 Accepting new patients

Locations

2425 E Saint Charles St
Ste C
Rapid City, SD 57703
Phone (605) 517-9656

350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650

623 Dahl Rd
Spearfish, SD 57783
Phone (605) 642-2777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1457955106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E SAINT CHARLES ST STE C",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034123",
            "telephone_number": "605-517-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E SAINT CHARLES ST STE C",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034123",
            "telephone_number": "605-517-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYBARGER",
        "first_name": "TREVOR",
        "credential": "CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6448",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "28360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.