Individual provider Active NPI

Josephine A. Chase, MSW, LCSW-PIP

  • Clinical Social Worker
  • Custer, SD
National Provider Identifier
1801984026
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2103 Issued in SD
Practice address
29 N 6TH St.
Custer, SD 57730
Phone
(605) 431-1927
Fax
(605) 923-6466
NPI assigned
Oct 11, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2103 SD Primary

Addresses

Primary practice location

29 N 6TH St.
Custer, SD 57730

Mailing address

15088 220TH St
Box Elder, SD 57719-8101
Phone (605) 923-6466

Other identifiers 1

IdentifierTypeStateIssuer
6571340MedicaidSD

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2103SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horse Nation Healing, Inc. Clinical Past Accepting new patients

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801984026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15088 220TH ST",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577198101",
            "telephone_number": "605-923-6466",
            "fax_number": "605-923-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N 6TH ST.",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "57730",
            "telephone_number": "605-431-1927",
            "fax_number": "605-923-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "JOSEPHINE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6571340",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Custer, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.