Individual provider Active NPI

Dana Dracy, LCSW-PIP, QMHP

  • Clinical Social Worker
  • Yankton, SD
National Provider Identifier
1932652872
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4923 Issued in SD
Practice address
311 Cedar St
Yankton, SD 57078-4335
Phone
(605) 689-0457
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4923 SD Primary
Social Worker 104100000X 3545 SD

Addresses

Primary practice location

311 Cedar St
Yankton, SD 57078-4335

Mailing address

311 Cedar St
Yankton, SD 57078-4335
Phone (605) 689-0457

Other practice location 1

2703 Fox Run Pkwy
Suite 200
Yankton, SD 57078-5350
Phone (605) 665-0258

Other practice location 2

329 Broadway Ave
Yankton, SD 57078-4256
Phone (605) 689-0457

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
I20190805003065 SD Practitioner - Clinical Social Worker 4880915263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1915 Locust St
Yankton, SD 57078-2002
Phone (605) 689-0457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3545SDMDSocial Worker
4923SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Counseling & Family Services, LLC Clinical CurrentSince Apr 27, 2019 Accepting new patients
Psychological Associates of Yankton, LLC PastSince Mar 13, 2011 Accepting new patients

Locations

329 Broadway Ave
Yankton, SD 57078
Phone (605) 689-0457

311 Cedar St
Yankton, SD 57078
Phone (605) 689-0457

Organizations & group practices 2

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1932652872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CEDAR ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784335",
            "telephone_number": "605-689-0457",
            "fax_number": "605-689-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CEDAR ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784335",
            "telephone_number": "605-689-0457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2703 Fox Run Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570785350",
            "country_code": "US",
            "telephone_number": "605-665-0258",
            "fax_number": "605-665-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570784256",
            "country_code": "US",
            "telephone_number": "605-689-0457",
            "fax_number": "605-689-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRACY",
        "first_name": "DANA",
        "credential": "LCSW-PIP, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4923",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "3545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.