Individual provider Active NPI

Treese Morford Deboer, MSW, CSW-PIP

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1578746483
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1952 Issued in SD
Practice address
607 1/2 Mount Rushmore Rd Ste 101
Rapid City, SD 57701-2768
Phone
(605) 430-7111
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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 1952 SD Primary

Addresses

Primary practice location

607 1/2 Mount Rushmore Rd Ste 101
Rapid City, SD 57701-2768

Mailing address

607 1/2 Mount Rushmore Rd Ste 101
Rapid City, SD 57701-2768
Phone (605) 430-7111

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
I20040508000034 SD Practitioner - Clinical Social Worker 8022007731 Practice locations: Hot Springs, SD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1501 Hwy 18 Byp B
Hot Springs, SD 57747-9602
Phone (605) 430-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1952SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Mental Health & Chemical Dependency Center PastSince Sep 15, 2015 Accepting new patients
Pine Hills, Inc Past Accepting new patients
Southern Hills Family Medicine, Prof LLC 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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1578746483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 1/2 MOUNT RUSHMORE RD STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012768",
            "telephone_number": "605-430-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 1/2 MOUNT RUSHMORE RD STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012768",
            "telephone_number": "605-430-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORFORD DEBOER",
        "first_name": "TREESE",
        "credential": "MSW, CSW-PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.