Individual provider Active NPI

Tricia Kate Warner, LCSW, CSW-PIP

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1639354236
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2038 Issued in CO
Practice address
1304 Chinook LN
Pueblo, CO 81001-1851
Phone
(719) 545-2746
Fax
(719) 584-0110
NPI assigned
Jan 2, 2008
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2291 SD
Clinical Social Worker 1041C0700X 2038 CO Primary

Addresses

Primary practice location

1304 Chinook LN
Pueblo, CO 81001-1851

Mailing address

1304 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

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
I20080204000164 SD Practitioner - Clinical Social Worker 7810079589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Mental Health Associates PCGroup PAC ID 2264337013, 55 clinicians
Turnwell Mental Health of South Dakota, PCGroup PAC ID 0648712927, 30 clinicians

Practice addresses (Care Compare)

111 W 17TH St
Sioux Falls, SD 57104-4972
Phone (605) 335-1117

126 W 12TH Ave
Redfield, SD 57428-1522
Phone (605) 472-0658

1806 S Dorothy Ave
Sioux Falls, SD 57106-3826
Phone (888) 365-6271

4001 S Marion Rd
Sioux Falls, SD 57106-1703
Phone (888) 365-6271

4308 S Arway Dr
Sioux Falls, SD 57106-3131
Phone (605) 573-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2291SDMDClinical Social Worker
2038COMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC CurrentSince May 1, 2025 Accepting new patients
Turnwell Mental Health of South Dakota, PC CurrentSince Jan 26, 2026 Accepting new patients
Volunteers of America, Dakotas Past Accepting new patients

Locations

126 W 12th Ave
Redfield, SD 57469
Phone (605) 335-3421

4308 S Arway Dr
Sioux Falls, SD 57106
Phone (507) 220-1585

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1639354236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011851",
            "telephone_number": "719-545-2746",
            "fax_number": "719-584-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011851",
            "telephone_number": "719-545-2746",
            "fax_number": "719-584-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "TRICIA",
        "middle_name": "KATE",
        "credential": "LCSW, CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2291",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.