| Michele Marie Clodfelder, MS, LPC-MH | |
|
310 S 26th St Ste 1, Spearfish, SD 57783-3355 | |
| (605) 580-7358 | |
| (605) 559-0321 |
| Full Name | Michele Marie Clodfelder |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 310 S 26th St Ste 1, Spearfish, 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 |
|---|---|---|---|
| 1194108829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-MH20361 (South Dakota) | Primary |
| Entity Name | Little Canyon Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457049504 PECOS PAC ID: 8820441587 Enrollment ID: O20240129004042 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Marie Clodfelder, MS, LPC-MH 310 S 26th St Ste 1, Spearfish, SD 57783-3355 Ph: (605) 580-7358 | Michele Marie Clodfelder, MS, LPC-MH 310 S 26th St Ste 1, Spearfish, SD 57783-3355 Ph: (605) 580-7358 |
Megan Bennett, BS CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-642-7093 Fax: 605-722-3931 | |
Carmen L Heaphy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 623 Dahl Rd, Spearfish, SD 57783 Phone: 605-642-2777 Fax: 605-642-9356 | |
Mandi Marie Scott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N 7th St Ste 6, Spearfish, SD 57783 Phone: 605-645-0100 Fax: 605-717-1009 | |
Katherin Ann Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 623 Dahl Rd, Spearfish, SD 57783 Phone: 605-642-2777 Fax: 605-642-9356 | |
Loree Siegfried, CSW-PIP, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 North Ave Ste 5, Spearfish, SD 57783 Phone: 605-939-0296 Fax: 605-939-0296 | |
Mrs. Rachel Pettersen, LPC-MH, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 115 N 7th St Ste 4, Spearfish, SD 57783 Phone: 605-641-2661 Fax: 605-644-5121 | |
Pamela J. Hendrickson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 623 Dahl Rd, Spearfish, SD 57783 Phone: 605-642-2777 |