Christine Elizabeth Ellis, CSW-PIP
Individual provider Active NPI Social Worker · Sioux Falls, SD
NPI 1639396609 · NPPES record last updated Jul 1, 2011
Key facts
- NPI
- 1639396609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1936 (SD)
- Practice address
- 5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2707 - Phone
- (605) 271-1348
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2700
Phone (605) 271-1348
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071109000146 | SD | Practitioner - Clinical Social Worker | 9436247418 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18354 | MN | MD | Social Worker |
| 06783 | IA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christine Ellis, LLC | Current |
Accepting new patients | |
| Gleason-Wilson, Inc. | Past |
Accepting new patients | |
| Bunkers Inc | Past |
Accepting new patients | |
| C Skovlund Inc. | Past | Accepting new patients |
Locations
5000 S Minnesota Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 271-1348
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1936 | SD | Yes |
| Social Worker | 104100000X | 06783 | IA | |
| Social Worker | 104100000X | 18354 | MN |
Addresses
Primary practice location
5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2707
Mailing address
5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2707
Phone (605) 271-1348
Other providers in Sioux Falls, SD
- David A Ellerbusch
- Tonya Cole Ellingson
- Michael Elliott
- Nyah Elliott
- Quinton Antawn Elliott
- Donald T Ellis II
- Mary Beth Ellis
- Madeline Ellison
- Lauren Ellwein
- Marc H Ellwein
All providers in Sioux Falls, SD · Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.