Active NPI
Sonja Marie Halverson, LCSW
- Clinical Social Worker
- Spearfish, SD
National Provider Identifier
1740966555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6391
- Practice address
- 115 N 7TH St Ste 6
Spearfish, SD 57783-2710 - Phone
- (605) 645-0100
- Fax
- (605) 717-1009
- NPI assigned
- Jun 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6391 | SD | |
| Clinical Social Worker | 1041C0700X | 6391 | SD | Primary |
Addresses
Primary practice location
115 N 7TH St Ste 6
Spearfish, SD 57783-2710
Mailing address
115 N 7TH St Ste 6
Spearfish, SD 57783-2710
Phone (605) 645-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3007730 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 N 7TH St
Suite 6
Spearfish, SD 57783-2710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6391 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Psychology, LLC | Clinical | Current | Accepting new patients |
Locations
115 N 7th St
Ste 6
Spearfish, SD 57783
Phone (605) 645-0100
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.
-
- Clinical Psychologist
- Spearfish, SD
- NPI 1811290992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1740966555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N 7TH ST STE 6",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577832710",
"telephone_number": "605-645-0100",
"fax_number": "605-717-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N 7TH ST STE 6",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577832710",
"telephone_number": "605-645-0100",
"fax_number": "605-717-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVERSON",
"first_name": "SONJA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "6391",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "6391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3007730",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spearfish, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.