Individual provider Active NPI

Shelli Rodrigues, LCSW-PIP, QMHP

  • Clinical Social Worker
  • Pierre, SD
National Provider Identifier
1497310247
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5227 Issued in SD
Practice address
2001 Eastgate
Pierre, SD 57501-5691
Phone
(605) 224-5811
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5227 SD Primary

Addresses

Primary practice location

2001 Eastgate
Pierre, SD 57501-5691

Mailing address

2001 Eastgate
Pierre, SD 57501-5691
Phone (605) 224-5811

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
I20210422003131 SD Practitioner - Clinical Social Worker 6709294143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Capital Area Counseling Service, IncGroup PAC ID 5991697955, 10 clinicians

Practice addresses (Care Compare)

2001 Eastgate
Pierre, SD 57501-5691
Phone (605) 224-5811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5227SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Counseling Service, Inc Clinical CurrentSince Apr 13, 2021 Accepting new patients

Locations

2001 Eastgate
Pierre, SD 57501
Phone (605) 224-5811

803 E Dakota Ave
Pierre, SD 57501
Phone (605) 224-5811

Organizations & group practices 1

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1497310247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 EASTGATE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575015691",
            "telephone_number": "605-224-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EASTGATE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575015691",
            "telephone_number": "605-224-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "SHELLI",
        "credential": "LCSW-PIP, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.