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CARLEEN ANNETTE MAZOUR CSW
NPI 1124860119
Social Worker in Rapid City, SD

Active since June 10, 2024PECOS Enrolled
3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2500 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carleen Annette Mazour Csw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLEEN ANNETTE MAZOUR CSW (NPI 1124860119) is an individual social worker in Rapid City, South Dakota, licensed in South Dakota (6279) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124860119
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCARLEEN ANNETTE MAZOURCredential: CSW
Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114
Mailing Address3200 Canyon Lake DrRapid City, SD 57702-8114 · (605) 355-2500
Phone(605) 355-2500
Sole ProprietorNo
Enumeration DateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1124860119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in SD · 6279
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3200 CANYON LAKE DR, Rapid City, SD 57702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carleen Annette Mazour Csw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carleen Mazour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Plains Tribal Chairmen's Health Board
Same address
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
NPI 1376105452 (605) 721-1922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBYGAIL BINGHAM MLT
Technician, Pathology
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2229
JOLENE PETERSON MSW LCSW PIP
Social Worker (Clinical)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2215
MS. DONNA MARIE HUBER RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2298
MICHELLE GIBALDI
Technician, Pathology (Medical Laboratory)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228
KATHY HOGG
Registered Nurse (Case Management)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
OGLALA SIOUX TRIBE
Non-emergency Medical Transport (VAN)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 343-7832
FRANCES MARIE GRAY RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
MRS. JEANETTE KAY OFSTAD MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carleen Mazour's NPI number?

The NPI number for Carleen Mazour is 1124860119. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Carleen Mazour located?

Carleen Mazour practices at 3200 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 355-2500.

What is Carleen Mazour's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Carleen Mazour enrolled in Medicare?

Yes. Carleen Mazour is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carleen Mazour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carleen Mazour reassigns Medicare benefits to Great Plains Tribal Chairmen's Health Board (Rapid City, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carleen Mazour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carleen Mazour accept?

Health plans from Sanford Health Plan and Wellmark of South Dakota, Inc. list Carleen Mazour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carleen Mazour was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.