Active NPI
Trevor Frybarger, CSW-PIP
- Clinical Social Worker
- Rapid City, SD
National Provider Identifier
1457955106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Mind Wellness | Current | Accepting new patients | |
| Behavior Management Systems, Inc. | Current | Accepting new patients | |
| Integrate Wellness LLC | Clinical | Current | 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.
-
- Community/Behavioral Health Agency
- Rapid City, SD
- NPI 1295878122
-
- Clinical Social Worker
- Rapid City, SD
- NPI 1073479929
-
- Psychologist
- Fairburn, SD
- NPI 1972372746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.