Amy Diane Radke, CSW, MSW-PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6123 Issued in SD

Practice address

5020 S Broadband LN
Sioux Falls, SD 57108-2318

Phone

(605) 330-4552

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amy Diane Stensland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1710680541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 S BROADBAND LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082318",
            "telephone_number": "605-330-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 S BROADBAND LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082318",
            "telephone_number": "605-330-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "credential": "CSW, MSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "STENSLAND",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leland J Raabe, CRNA
• Scott J Raabe, CRNA
• Rita Rabenberg, M.D.
• Rachel C Soyland DDS PC
• Kathryn Ann Radigan, DNP
• Stephanie Ann Rahn I, P.T.
• Wijdan Rai, MD
• Avery Rainboth
• Rajaganesh Rajagopalan, MD
• Govarthanan Rajendiran, M.D.

• Clinical Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.