| Carolyn Sue Wildhaber, CSW-PIP | |
|
224 Elk Street, Rapid City, SD 57701 | |
| (605) 755-7710 | |
| (605) 755-7719 |
| Full Name | Carolyn Sue Wildhaber |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 224 Elk Street, Rapid City, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336647205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3442 (South Dakota) | Secondary |
| 104100000X | Social Worker | 3442 (South Dakota) | Primary |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Sue Wildhaber, CSW-PIP 224 Elk Street, Rapid City, SD 57701 Ph: (605) 755-7710 | Carolyn Sue Wildhaber, CSW-PIP 224 Elk Street, Rapid City, SD 57701 Ph: (605) 755-7710 |
Deanna Mundt Steckman, MSW, CSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 918 5th St, Rapid City, SD 57701 Phone: 605-348-6086 Fax: 605-348-1050 | |
Adriane Marie Mucheck-rooks, MSW-CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-7190 | |
Suzanne Darlene Greene, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 Mountain View Rd, Rapid City, SD 57702 Phone: 605-791-4665 Fax: 605-791-4666 | |
Julia Grimshaw, MSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4447 S Canyon Rd Ste 6, Rapid City, SD 57702 Phone: 605-484-8424 | |
Jolene Peterson, MSW LCSW PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2215 Fax: 605-355-2504 | |
Mary Ann Fredrickson, LCSW-PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1601 Mount Rushmore Rd Ste 3, #202, Rapid City, SD 57701 Phone: 210-846-9037 | |
Audra Hill, MSW/CSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 316 Middle Valley Dr, Rapid City, SD 57701 Phone: 605-381-0049 |