New Growth Mental Health, LLC

Key facts

NPI

1760201636

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Social Worker 1041C0700X

Legal business name

NEW GROWTH MENTAL HEALTH, LLC

Practice address

311 S Phillips Ave Ste 203
Sioux Falls, SD 57104-6420

Phone

(605) 215-0609

NPI assigned

Oct 8, 2024

Organization subpart

No

Authorized official

Name

Hannah Vander Broek, LCSW NPI 1184350365

Title

Provider/Owner

Phone

(605) 215-0609

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Diane Vander Broek, LCSW Clinical Social Worker · Sioux Falls, SD · NPI 1184350365
  NPD Authorized official CLINICAL

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2024.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1760201636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S PHILLIPS AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046420",
            "telephone_number": "605-215-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S PHILLIPS AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046420",
            "telephone_number": "605-215-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GROWTH MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "VANDER BROEK",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "605-215-0609",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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