Active NPI
Denise Marie Pulido, LICENSED INDEPENDENT
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1568604833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3224
- Practice address
- 400 S Sycamore Ave
Suite 105-3
Sioux Falls, SD 57110-1246 - Phone
- (605) 334-3739
- Fax
- (605) 334-7752
- NPI assigned
- Apr 1, 2009
- 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 | 3224 | SD | Primary |
Addresses
Primary practice location
400 S Sycamore Ave
Suite 105-3
Sioux Falls, SD 57110-1246
Mailing address
400 S Sycamore Ave
Suite 105-3
Sioux Falls, SD 57110-1246
Phone (605) 334-3739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006644 | Medicaid | SD |
Other names 1
- Ms. Denise Marie Sambrano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3224 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Christian Counseling Midwest, Inc. | Clinical | Past | Accepting new patients |
| Plains Area Mental Health, Inc. | Past | Accepting new patients | |
| Plains Area Mental Health, Inc. | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1376522060
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Le Mars, IA
- NPI 1356198147
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Le Mars, IA
- NPI 1801867734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1568604833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S SYCAMORE AVE",
"address_2": "SUITE 105-3",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571101246",
"telephone_number": "605-334-3739",
"fax_number": "605-334-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S SYCAMORE AVE",
"address_2": "SUITE 105-3",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571101246",
"telephone_number": "605-334-3739",
"fax_number": "605-334-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULIDO",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LICENSED INDEPENDENT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "3224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006644",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "SAMBRANO",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "LICENSE INDEPENDENT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.