Individual provider Active NPI

Nicole Marie Sobolik-Owens, MSW

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1659150860
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6398 Issued in SD
Practice address
2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone
(605) 334-2696
NPI assigned
Sep 26, 2023
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 6398 SD Primary

Addresses

Primary practice location

2109 S Norton Ave
Sioux Falls, SD 57105-3730

Mailing address

1101 S Lakota Ave
Brandon, SD 57005-2113
Phone (701) 331-3915

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
I20240731003467 SD Practitioner - Clinical Social Worker 5395282982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Baptist SeminaryGroup PAC ID 8628979721, 21 clinicians

Practice addresses (Care Compare)

2109 S Norton Ave
Sioux Falls, SD 57105-3730
Phone (605) 334-2696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6398SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary CurrentSince Jun 26, 2024 Accepting new patients
North American Baptist Seminary CurrentSince Jun 26, 2024 Accepting new patients

Locations

2109 S Norton Ave
Sioux Falls, SD 57105
Phone (605) 334-2696

4300 S Louise Ave
Ste 201
Sioux Falls, SD 57106
Phone (605) 334-7713

Organizations & group practices 2

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1659150860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S LAKOTA AVE",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052113",
            "telephone_number": "701-331-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S NORTON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053730",
            "telephone_number": "605-334-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOLIK-OWENS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.