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

Q: 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.

Q: What is Carleen Mazour's specialty?

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

Q: 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.

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: August 02, 2026.

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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 and is a graduate of Other (2021).

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

Medical School CMSOtherGraduated 2021

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8022512912

PECOS Enrollment IDI20250915003760

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.

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