Individual provider Active NPI

Denise Marie Pulido, LICENSED INDEPENDENT

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1568604833
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3224 Issued in SD
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

Updated by the provider on Jul 11, 2014

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 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

IdentifierTypeStateIssuer
2006644MedicaidSD

Other names 1

  • Ms. Denise Marie Sambrano Professional name

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

LicenseStateTypeSpecialty
3224SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Christian Counseling Midwest, Inc. Clinical PastSince Apr 10, 1996 Accepting new patients
Plains Area Mental Health, Inc. PastSince May 7, 2024 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.

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.

Verify at the official NPI Registry.