| Radical Hope LLC | |
|
4107 Hall St Rapid City SD 57702-2222 | |
| (605) 431-9622 | |
| Not Available |
| Full Name | Radical Hope LLC |
|---|---|
| Speciality | Social Worker |
| Location | 4107 Hall St, Rapid City, South Dakota |
| Authorized Official Name and Position | Randi K Schneider (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6054319622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radical Hope LLC 4107 Hall St Rapid City SD 57702-2222 Ph: (605) 431-9622 | Radical Hope LLC 4107 Hall St Rapid City SD 57702-2222 Ph: (605) 431-9622 |
| NPI Number | 1932908118 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Medicare PECOS PAC ID | 1658879085 |
|---|---|
| Medicare Enrollment ID | O20250813003417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932908118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Randi Kay Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376191650 PECOS PAC ID: 5294233623 Enrollment ID: I20250821001697 |
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