Lila Rose Leader Charge, LCSW

Individual provider Active NPI Social Worker · Mission, SD

NPI 1780539486 · NPPES record last updated Feb 27, 2026

Key facts

NPI
1780539486
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
6604 (SD)
Practice address
153 S. Main Street.
Mission, SD 57555
Phone
(605) 988-7100
NPI assigned
Feb 27, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6604SDMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
104100000X 6604 SD Yes

Addresses

Primary practice location

153 S. Main Street.
Mission, SD 57555

Mailing address

PO Box 253
Rosebud, SD 57570-0253
Phone (605) 988-7100

Other providers in Mission, SD

All providers in Mission, SD · Social Worker in South Dakota

Sources for this page

Verify at the official NPI Registry.