Individual provider Active NPI

Teresa Dekkers, MSW

  • Clinical Social Worker
  • Orange City, IA
National Provider Identifier
1720703630
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115233 Issued in IA
Practice address
400 Central Ave NW Ste 300
Orange City, IA 51041-1332
Phone
(712) 737-2635
Fax
(712) 737-2344
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 115233 IA Primary

Addresses

Primary practice location

400 Central Ave NW Ste 300
Orange City, IA 51041-1332

Mailing address

400 S Sycamore Ave Ste 105-3
Sioux Falls, SD 57110-1255
Phone (605) 334-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20260204000522 IA Practitioner - Clinical Social Worker 3274011820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Christian Counseling Midwest IncGroup PAC ID 6608869078, 9 clinicians

Practice addresses (Care Compare)

400 Central Ave NW
Suite 300
Orange City, IA 51041-1332
Phone (712) 737-2635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115233IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Christian Counseling Midwest, Inc. Social Worker CurrentSince Jan 16, 2026 Accepting new patients

Locations

400 Central Ave NW
Ste 300
Orange City, IA 51041
Phone (712) 737-2635

400 S Sycamore Ave
Ste 105-3
Sioux Falls, SD 57110
Phone (605) 334-3739

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1720703630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SYCAMORE AVE STE 105-3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571101255",
            "telephone_number": "605-334-3739",
            "fax_number": "605-334-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW STE 300",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411332",
            "telephone_number": "712-737-2635",
            "fax_number": "712-737-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKKERS",
        "first_name": "TERESA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "115233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.