STACEY JO ANDERSON CSW-PIP
NPI 1508523150
Social Worker - Clinical in Rapid City, SD

Q: What is Stacey Anderson's NPI number?

The NPI number for Stacey Anderson is 1508523150. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Q: What is Stacey Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Anderson was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 November 18, 2021PECOS Enrolled

2165 PROMISE RD, RAPID CITY, SD 57701(605) 891-4499 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Aug 6, 2024, Nov 18, 2021 (3 updates tracked since 2021).

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About Stacey Jo Anderson Csw-pip NPPES

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

STACEY JO ANDERSON CSW-PIP (NPI 1508523150) is an individual clinical provider in Rapid City, South Dakota, licensed in South Dakota (6635) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508523150

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACEY JO ANDERSONCredential: CSW-PIP

Location Address2165 PROMISE RDRapid City, SD 57701-8981

Mailing Address2040 W Main St Ste 203Rapid City, SD 57702-2446 · (605) 519-9523

Phone(605) 891-4499

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 18, 2021

Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1508523150 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 · 6635

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.

2165 PROMISE RD, Rapid City, SD 57701

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Secondary Practice Locations 2

Location 18216 Chickadee LnBlack Hawk, SD 57718-9512 · Phone (605) 430-5221 · Fax (605) 430-5221

Location 22040 W Main St Ste 203Rapid City, SD 57702-2446 · Phone (605) 519-9523 · Fax (605) 519-9523

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 (PECOS)

Stacey Jo Anderson Csw-pip is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719461144

PECOS Enrollment IDI20260324001263

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 57701 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.

MR. JOHN RJ NELSON

Counselor (Addiction (Substance Use Disorder))