| Mary Ann Fredrickson, LCSW-PIP | |
|
1601 Mount Rushmore Rd Ste 3, #202, Rapid City, SD 57701 | |
| (210) 846-9037 | |
| Not Available |
| Full Name | Mary Ann Fredrickson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1601 Mount Rushmore Rd Ste 3, 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 |
|---|---|---|---|
| 1033449053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2423 (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 |
| Entity Name | Deer Oaks Mental Health Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20101012000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Fredrickson, LCSW-PIP 1601 Mount Rushmore Rd Ste 3, #202, Rapid City, SD 57701 Ph: (210) 846-9037 | Mary Ann Fredrickson, LCSW-PIP 1601 Mount Rushmore Rd Ste 3, #202, Rapid City, SD 57701 Ph: (210) 846-9037 |
Makayla Brown, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2902 W Main St Ste 2, Rapid City, SD 57702 Phone: 605-721-8822 | |
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 Cox, CSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2202 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-633-5762 | |
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 |