Stacey Jo Anderson, CSW-PIP
Social Worker, Clinical in Rapid City, SD. Individual provider (NPI-1).
NPI number1508523150
StatusActive
Last updated in NPPESDec 15, 2025
Details
- NPI
- 1508523150
- Entity type
- Individual (NPI-1)
- Name
- Stacey Jo Anderson
- Credential
- CSW-PIP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2021
- Certification date
- Dec 15, 2025
- Last updated
- Dec 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6635 | SD | Yes |
Practice location
2165 Promise RdRapid City, SD 57701-8981
Phone 605-891-4499
Mailing address
2040 W Main St Ste 203Rapid City, SD 57702-2446
Phone 605-519-9523
Other practice locations
8216 Chickadee Ln
Black Hawk, SD 57718-9512
Black Hawk, SD 57718-9512
Phone 605-430-5221 · Fax 605-430-5221
2040 W Main St Ste 203
Rapid City, SD 57702-2446
Rapid City, SD 57702-2446
Phone 605-519-9523 · Fax 605-519-9523
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