Individual provider Active NPI

Lisa Jo Nafziger, MSW, LICSW, LCSW-PIP

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1831661438
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5070 Issued in SD
Practice address
707 E 41St St Ste 136
Sioux Falls, SD 57105-6049
Phone
(605) 271-0603
Fax
(605) 271-4720
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4803 SD
Clinical Social Worker 1041C0700X 4803 SD
Clinical Social Worker 1041C0700X 5070 SD Primary

Addresses

Primary practice location

707 E 41St St Ste 136
Sioux Falls, SD 57105-6049

Mailing address

707 E 41St St Ste 136
Sioux Falls, SD 57105-6049
Phone (605) 271-0603

Other practice location 1

707 E 41st St Ste 105
Sioux Falls, SD 57105-6042
Phone (605) 271-0603

Other practice location 2

3216 E 10th St
Sioux Falls, SD 57110
Phone (605) 271-0603

Other identifiers 1

IdentifierTypeStateIssuer
1831661438MedicaidSD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.therapyportal.com/p/peakperformance57103/ Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4803SDMDSocial Worker
5070SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Counseling Center Social Worker CurrentSince Mar 1, 2021 Accepting new patients

Locations

707 E 41st St
Ste 136
Sioux Falls, SD 57105
Phone (605) 271-0603

707 E 41st St
Ste 105
Sioux Falls, SD 57105
Phone (605) 271-0603

3216 E 10th St
Sioux Falls, SD 57103
Phone (605) 271-0603

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1831661438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E 41ST ST STE 136",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056049",
            "telephone_number": "605-271-0603",
            "fax_number": "605-271-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E 41ST ST STE 136",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056049",
            "telephone_number": "605-271-0603",
            "fax_number": "605-271-4720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E 41st St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571056042",
            "country_code": "US",
            "telephone_number": "605-271-0603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3216 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57110",
            "country_code": "US",
            "telephone_number": "605-271-0603",
            "fax_number": "605-271-9699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAFZIGER",
        "first_name": "LISA",
        "middle_name": "JO",
        "credential": "MSW, LICSW, LCSW-PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "4803",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4803",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831661438",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapyportal.com/p/peakperformance57103/",
            "affiliation": "N",
            "endpointDescription": "Secure EHR patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapy Notes EHR",
            "address_1": "707 E 41st St Ste 136",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571056049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.