MARLENE K SCHULZ MSW
NPI 1285869453
Social Worker - Clinical in Sioux Falls, SD

Active since May 18, 2009PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1112 S LAKE AVE STE 201, SIOUX FALLS, SD 57104(605) 312-5350 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marlene K Schulz Msw NPPES

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

MARLENE K SCHULZ MSW (NPI 1285869453) is an individual clinical provider in Sioux Falls, South Dakota, licensed in South Dakota (1569) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sioux Falls, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1285869453
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARLENE K SCHULZCredential: MSW
Location Address1112 S LAKE AVE STE 201Sioux Falls, SD 57104-1300
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateMay 18, 2009
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 6, 2023
NPI 1285869453 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 · 1569
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.
1112 S LAKE AVE STE 201, Sioux Falls, SD 57104

Secondary Practice Location 1

Location 1401 E 8th St Ste 209Sioux Falls, SD 57103-7033 · Phone (605) 366-6065

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 and accepts Medicare assignment

Marlene K Schulz Msw 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.

PECOS PAC ID5698814754
PECOS Enrollment IDI20091202000469
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 57104 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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1112 S LAKE AVE STE 201
SIOUX FALLS, SD 57104
Nurse Practitioner (Occupational Health)
1112 S LAKE AVE STE 201
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1112 S LAKE AVE STE 201
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1112 S LAKE AVE STE 201
SIOUX FALLS, SD 57104

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 Marlene Schulz's NPI number?

The NPI number for Marlene Schulz is 1285869453. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Marlene Schulz located?

Marlene Schulz practices at 1112 S Lake Ave Ste 201, Sioux Falls, SD 57104. The listed phone number is (605) 312-5350.

What is Marlene Schulz's specialty?

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

Is Marlene Schulz enrolled in Medicare?

Yes. Marlene Schulz 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.

What insurance does Marlene Schulz accept?

Health plans from Sanford Health Plan and Security Health Plan list Marlene Schulz 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 Marlene Schulz was last updated on October 10, 2023. 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.