MR. SHANE HAMILTON CSW-PIP
NPI 1144554296
Social Worker - Clinical in Sioux Falls, SD

Active since September 22, 2009PECOS Enrolled
76.69/100
CMS Quality Rating
6101 S LOUISE AVE, SIOUX FALLS, SD 57108(605) 312-8000(605) 312-8001 Get Directions Write a Review

NPPES record last updated: April 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shane Hamilton Csw-pip NPPES

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

MR. SHANE HAMILTON CSW-PIP (NPI 1144554296) is an individual clinical provider in Sioux Falls, South Dakota, licensed in South Dakota (3140) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144554296
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHANE HAMILTONCredential: CSW-PIP
Location Address6101 S LOUISE AVESioux Falls, SD 57108
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 312-8001
Sole ProprietorNo
Enumeration DateSeptember 22, 2009
Last NPPES UpdateApril 8, 2014
NPI 1144554296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in SD · 3140
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6101 S LOUISE AVE, Sioux Falls, SD 57108

Other Identifiers 3

Medicaid1144554296SD
Medicaid1144554296MN
Medicare PINS107474SD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Shane Hamilton Csw-pip 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.52 – $167.23
Typical copayment $0.00 (range $13.88 – $41.80)
Most-billed visit code NA
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Family)
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Family Medicine
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Pediatrics
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Family Medicine
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Family Medicine
6101 S LOUISE AVE
SIOUX FALLS, SD 57108
Pediatrics
6101 S LOUISE AVE
SIOUX FALLS, SD 57108

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 Shane Hamilton's NPI number?

The NPI number for Shane Hamilton is 1144554296. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Shane Hamilton located?

Shane Hamilton practices at 6101 S Louise Ave, Sioux Falls, SD 57108. The listed phone number is (605) 312-8000.

What is Shane Hamilton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shane Hamilton enrolled in Medicare?

Yes. Shane Hamilton is registered in the Medicare PECOS enrollment system.

What insurance does Shane Hamilton accept?

Health plans from Sanford Health Plan and Security Health Plan list Shane Hamilton 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 Shane Hamilton was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.