Holly Boettcher
Individual provider Active NPI Clinical Social Worker · Sioux Falls, SD
NPI 1750126629 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1750126629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6605 (SD)
- Practice address
- 2210 S Brown PL
Sioux Falls, SD 57105-6582 - Phone
- (605) 336-1974
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6605 | SD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6605 | SD | Yes |
Addresses
Primary practice location
2210 S Brown PL
Sioux Falls, SD 57105-6582
Mailing address
2210 S Brown PL
Sioux Falls, SD 57105-6582
Phone (605) 336-1974
Other providers in Sioux Falls, SD
- Cornelius F Boerkoel III
- Dustin Allan Boes
- Marie Boetel
- Thomas Matthew Boetel
- Lynn Marie Boettcher Fjellanger
- Stewart P. Bofenkamp
- Vicki G Bofenkamp
- Bogen Corporation
- Alicia Bohrer
- Kimberlee C Bohy
All providers in Sioux Falls, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.