Mary Beth Dornheim, LICSW | |
800 E 21st St, Sioux Falls, SD 57105-1016 | |
(605) 322-4005 | |
Not Available |
Full Name | Mary Beth Dornheim |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 800 E 21st St, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356487227 | NPI | - | NPPES |
330617000 | Other | MN | MINNESOTA HEALTH CARE PROGRAMS |
1356487227 | Other | MN | HEATH PARTNERS |
000498910 | Other | MN | UBH MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 173889 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 19740 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera Mckennan | 0345157103 | 848 |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Mary Beth Dornheim, LICSW 106 N 5th St, Marshall, MN 56258-1304 Ph: (218) 395-0483 | Mary Beth Dornheim, LICSW 800 E 21st St, Sioux Falls, SD 57105-1016 Ph: (605) 322-4005 |
Malia Holbeck, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2412 S Cliff Ave, Ste 200, Sioux Falls, SD 57105 Phone: 605-322-4079 | |
Lacey Ballew, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 E 23rd St, Sioux Falls, SD 57105 Phone: 056-322-7549 | |
Jill Walerius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4105 S Carnegie Pl Ste 103, Sioux Falls, SD 57106 Phone: 605-212-3638 | |
Mrs. Robyn Shores Foster, CSW PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-334-2696 Fax: 605-339-9944 | |
Alicia Mefferd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 E 41st St Ste 100, Sioux Falls, SD 57105 Phone: 605-444-7500 | |
Mrs. Amber J Corey, LCSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 W 49th St Ste 103, Sioux Falls, SD 57105 Phone: 605-271-4813 Fax: 605-271-4815 | |
Alexzander John Capell, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 N Sycamore Ave, Sioux Falls, SD 57110 Phone: 605-965-3109 |