Derek Granum, LCSW
Social Worker, Clinical in Sioux Falls, SD. Individual provider (NPI-1).
NPI number1982259230
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1982259230
- Entity type
- Individual (NPI-1)
- Name
- Derek Granum
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2019
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 4958 | SD | Yes |
Practice location
2400 W 49th StSioux Falls, SD 57105-6581
Phone 605-312-8700
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 605-322-5700 · Fax 605-322-5832
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