Active NPI
Shelli Rodrigues, LCSW-PIP, QMHP
- Clinical Social Worker
- Pierre, SD
National Provider Identifier
1497310247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5227
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5227 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Counseling Service, Inc | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.