DANICA ZOMER MSW, CSW
NPI 1164027397
Social Worker - Clinical in Plankinton, SD
About Danica Zomer Msw, Csw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANICA ZOMER MSW, CSW (NPI 1164027397) is an individual clinical provider in Plankinton, South Dakota, licensed in South Dakota (4834) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mitchell, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Danica Zomer Msw, Csw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Danica Zomer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Corsica, SD 57328
- Reassigned Medicare billing, South Dakota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Danica Zomer's NPI number?
The NPI number for Danica Zomer is 1164027397. It was assigned to this individual provider in the NPPES registry on December 4, 2020.
Where is Danica Zomer located?
Danica Zomer practices at 110 W. State St., Plankinton, SD 57368. The listed phone number is (605) 942-7332.
What is Danica Zomer's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Danica Zomer enrolled in Medicare?
Yes. Danica Zomer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Danica Zomer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danica Zomer reassigns Medicare benefits to Midwest Mindset Counseling LLC (Corsica, 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 Danica Zomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danica Zomer accept?
Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Danica Zomer 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 Danica Zomer was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Danica Zomer, MSW, CSW · NPI 1164027397
Clinical provider in Plankinton, South Dakota. Individual provider, active in the CMS NPPES registry since December 4, 2020.
## Identity
- **NPI:** 1164027397 (Entity type: Individual)
- **Enumerated:** December 4, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 4834 (South Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 W. STATE ST., Plankinton, SD 57368
- **Phone:** (605) 942-7332
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Midwest Mindset Counseling LLC (NPI 1275394777, Corsica, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164027397) · Data from the CMS NPPES public registry.