Individual provider Active NPI

Holly Katrina Sathoff, MSW, CSW

  • Social Worker
  • Madison, SD
National Provider Identifier
1801545330
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6085 Issued in SD
Practice address
914 NE 3Rd St
Madison, SD 57042-2435
Phone
(605) 256-9656
Fax
(605) 352-7001
NPI assigned
Mar 22, 2022
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6085 SD Primary

Addresses

Primary practice location

914 NE 3Rd St
Madison, SD 57042-2435

Mailing address

357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CCS-SD.ORG Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20220506001184 SD Practitioner - Clinical Social Worker 7214314558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling ServiceGroup PAC ID 9133111875, 11 clinicians

Practice addresses (Care Compare)

914 NE 3Rd St
Madison, SD 57042-2435
Phone (605) 256-9656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Service CurrentSince May 1, 2022 Accepting new patients

Locations

357 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-8596

914 NE 3rd St
Madison, SD 57042
Phone (605) 256-9656

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1801545330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517",
            "telephone_number": "605-352-8596",
            "fax_number": "605-352-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 NE 3RD ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570422435",
            "telephone_number": "605-256-9656",
            "fax_number": "605-352-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHOFF",
        "first_name": "HOLLY",
        "middle_name": "KATRINA",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CCS-SD.ORG",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WEBSITE",
            "address_1": "914 NE 3rd St",
            "city": "Madison",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570422435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

Verify at the official NPI Registry.