Active NPI
Judith Ann Haushalter, MSW
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1699797795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1484
- Practice address
- 2501 W 22 St
VA Medical Center
Sioux Falls, SD 57117-5046 - Phone
- (605) 333-6891
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1484 | SD | Primary |
Addresses
Primary practice location
2501 W 22 St
VA Medical Center
Sioux Falls, SD 57117-5046
Mailing address
1700 E 55TH St
Sioux Falls, SD 57103-5432
Phone (605) 336-7939
Other names 1
- Judith Ann Melino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1484 | SD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699797795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E 55TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571035432",
"telephone_number": "605-336-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 22 ST",
"address_2": "VA MEDICAL CENTER",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175046",
"telephone_number": "605-333-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSHALTER",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "1484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "MELINO",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.