Individual provider Active NPI

Chad Mitchell Cooper, LCSW

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1669011649
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
100 W 5TH St
Sioux Falls, SD 57104-5915
Phone
(605) 271-2338
Fax
(605) 335-0873
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

100 W 5TH St
Sioux Falls, SD 57104-5915

Mailing address

1300 W Bailey St Apt 110
Sioux Falls, SD 57104-1376
Phone (307) 349-2508

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
I20230920001976 SD Practitioner - Clinical Social Worker 9638523947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turnwell Mental Health of South Dakota, PCGroup PAC ID 0648712927, 30 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
72.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turnwell Mental Health of South Dakota, PC CurrentSince Nov 11, 2024 Accepting new patients
Deer Oaks Mental Health Associates PC CurrentSince Sep 1, 2023 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 2

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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1669011649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BAILEY ST APT 110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041376",
            "telephone_number": "307-349-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 5TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045915",
            "telephone_number": "605-271-2338",
            "fax_number": "605-335-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHAD",
        "middle_name": "MITCHELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.