Individual provider Active NPI

Rita Larae Van Norman, LCSW

  • Clinical Social Worker
  • Spearfish, SD
National Provider Identifier
1952433302
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2142 Issued in SD
Practice address
115 N 7TH St Ste 6
Spearfish, SD 57783-2710
Phone
(605) 645-0100
Fax
(605) 717-1009
NPI assigned
Mar 12, 2007
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 2142 SD Primary

Addresses

Primary practice location

115 N 7TH St Ste 6
Spearfish, SD 57783-2710

Mailing address

115 N 7TH St Ste 6
Spearfish, SD 57783-2710
Phone (605) 645-0100

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
I20181002003624 SD Practitioner - Clinical Social Worker 5890889505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Black Hills Psychology LLCGroup PAC ID 4587852009, 10 clinicians

Practice addresses (Care Compare)

115 N 7TH St
Suite 6
Spearfish, SD 57783-2710
Phone (605) 645-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2142SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Northern Rockies Past Accepting new patients

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, 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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1952433302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST STE 6",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832710",
            "telephone_number": "605-645-0100",
            "fax_number": "605-717-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST STE 6",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832710",
            "telephone_number": "605-645-0100",
            "fax_number": "605-717-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NORMAN",
        "first_name": "RITA",
        "middle_name": "LARAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.