Individual provider Active NPI

Kelsey Mesman

  • Clinical Social Worker
  • Huron, SD
National Provider Identifier
1649753294
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
357 Kansas Ave SE
Huron, SD 57350-2517
Phone
(605) 352-8596
Fax
(605) 352-7001
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 Primary

Addresses

Primary practice location

357 Kansas Ave SE
Huron, SD 57350-2517

Mailing address

357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596

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
I20190226001183 SD Practitioner - Clinical Social Worker 5698014280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Sanford School of Medicine of University of South Dakota, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling ServiceGroup PAC ID 9133111875, 11 clinicians

Practice addresses (Care Compare)

357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4855SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Service CurrentSince Mar 1, 2019 Accepting new patients

Locations

357 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-8596

914 NE 3rd St
Madison, SD 57042
Phone (605) 256-9656

Organizations & group practices 1

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1649753294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517",
            "telephone_number": "605-352-8596",
            "fax_number": "605-352-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517",
            "telephone_number": "605-352-8596",
            "fax_number": "605-352-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESMAN",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.