| Family Service, Inc. | |
|
2210 S Brown Pl Sioux Falls SD 57105-6582 | |
| (605) 336-1974 | |
| Not Available |
| Full Name | Family Service, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2210 S Brown Pl, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Deanne Renae Ludewig (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 6053361974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service, Inc. 2210 S Brown Pl Sioux Falls SD 57105-6582 Ph: () - | Family Service, Inc. 2210 S Brown Pl Sioux Falls SD 57105-6582 Ph: (605) 336-1974 |
| NPI Number | 1003961145 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Medicare PECOS PAC ID | 9739071192 |
|---|---|
| Medicare Enrollment ID | O20040329001292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003961145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ruth A Kaspar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164527487 PECOS PAC ID: 3375532260 Enrollment ID: I20040506001536 |
| Provider Name | Jeanne Carol Carlsen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609956283 PECOS PAC ID: 2769440114 Enrollment ID: I20041230000771 |
| Provider Name | Shelley L Sandbulte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871587253 PECOS PAC ID: 0749299105 Enrollment ID: I20060412000388 |
| Provider Name | Todd W Herrboldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144376567 PECOS PAC ID: 2163615022 Enrollment ID: I20101023000034 |
| Provider Name | Paula L Smykle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417209420 PECOS PAC ID: 8224356217 Enrollment ID: I20150423002290 |
| Provider Name | Sarah J Shoffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932623527 PECOS PAC ID: 6305175415 Enrollment ID: I20190913001966 |
| Provider Name | Erika J Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417474701 PECOS PAC ID: 9436147956 Enrollment ID: I20210601001470 |
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