MARY BETH DORNHEIM LICSW
NPI 1356487227
Social Worker - Clinical in Sioux Falls, SD

Q: What is Mary Beth Dornheim's NPI number?

The NPI number for Mary Beth Dornheim is 1356487227. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Mary Beth Dornheim's specialty?

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

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment

2400 W 49TH ST, SIOUX FALLS, SD 57105(605) 312-8700 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Beth Dornheim Licsw NPPES

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

MARY BETH DORNHEIM LICSW (NPI 1356487227) is an individual clinical provider in Sioux Falls, South Dakota, licensed in Minnesota (19740) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1356487227

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY BETH DORNHEIMCredential: LICSW

Location Address2400 W 49TH STSioux Falls, SD 57105-6581

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 312-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJanuary 29, 2007

Last NPPES UpdateMay 28, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1356487227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MN · 19740✔ Licensed in MN · 173889✔ Licensed in SD · 4781

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.

2400 W 49TH ST, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 1800 E 21st StSioux Falls, SD 57105-1016 · Phone (605) 322-4005

Other Identifiers 3

Other330617000MN · Minnesota Health Care Programs

Other1356487227MN · Heath Partners

Other000498910MN · Ubh Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Mary Beth Dornheim Licsw 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 ID2769667740

PECOS Enrollment IDI20190304002112

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

321 services45 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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.

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.

SARAH A FLYNN M.D.

Psychiatry & Neurology (Psychiatry)