MS. STARDUST H RED BOW


Address: 3625 5th St, Rapid City, SD 57701
Phone: 6057181095

MS. STARDUST H RED BOW (NPI# 1578709465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578709465
Entity Type Individual
Full Name MS. STARDUST H RED BOW
Credential MSW, CSW-PIP
Practice Address 3625 5th St
Rapid City
SD 57701
Practice Telephone 6057181095
Practice Fax Number 6057181098
Mailing Telephone 6057181095
Mailing Fax Number 6057181098
Enumeration Date 2008-12-23
Last Update Date 2014-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
2993 SD Behavioral Health & Social Service Providers

Office Location

Street Address 3625 5TH ST
City RAPID CITY
State SD
Zip Code 57701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346288438 Fort Meade Vamc Clinic/Center 3625 5th St, Rapid City, SD 57701-6015 2006-06-02
1093312654 Heather Mae Campbell Counselor 3625 5th St, Rapid City, SD 57701-6015 2020-10-07
1891335212 Rachel Anne Berry Social Worker 3625 5th St, Rapid City, SD 57701-6015 2020-01-14
1982268371 Angella Yvonne Bates Social Worker 3625 5th St, Rapid City, SD 57701-6015 2019-05-01
1386120335 Lindsay Mae Miller Psychologist 3625 5th St, Rapid City, SD 57701-6015 2018-07-12
1891080123 Larry Pollard Counselor 3625 5th St, Rapid City, SD 57701-6015 2011-06-15
1386939155 Randall Lee Huffman Jr. Counselor 3625 5th St, Rapid City, SD 57701-6015 2011-06-09
1932493517 Forrest A. Johnson Counselor 3625 5th St, Rapid City, SD 57701-6015 2011-06-01
1568768232 Clinton Eugene Olive II Social Worker 3625 5th St, Rapid City, SD 57701-6015 2011-01-28
1982829974 Heidi Rubins Social Worker 3625 5th St, Rapid City, SD 57701-6015 2007-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
Find all providers in zip 57701

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518522739 Andrew Havens Social Worker 3625 5th St Ste 100, Rapid City, SD 57701-6002 2019-05-02
1922582071 Steve Deming Social Worker 1718 Fremont St, Rapid City, SD 57702-3310 2018-09-24
1437686433 Triscell Knuppe Social Worker 2650 Jackson Blvd # 11, Rapid City, SD 57702-3474 2017-05-22
1689044406 Patricia Lauren Berthelot Social Worker 8448 Valley Rd Nw, Rapid City, MI 49676 2015-10-06
1124447982 Nicholas Isaacs Social Worker 2650 Jackson Blvd Ste 18, Rapid City, SD 57702-3474 2014-04-09
1740621168 Charles Michael Kohler Social Worker 621 6th St Ste 101, Rapid City, SD 57701-2790 2013-07-14
1619281375 Dakota Hills Counseling Inc. Social Worker 24 E New York St, Rapid City, SD 57701-1566 2010-08-04
1538473608 Danielle L Dunn Social Worker 5440 S Canyon Rd, Rapid City, SD 57702-2800 2010-08-01
1578746483 Treese Morford Deboer Social Worker 607 1/2 Mount Rushmore Rd Ste 101, Rapid City, SD 57701-2768 2007-12-13
1043438658 Audra Hill Social Worker 316 Middle Valley Dr, Rapid City, SD 57701-2381 2007-04-22
Find all providers in RAPID CITY

Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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