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HELENA MARIE DUFAULT LCSW, ACT
NPI 1689238941
Social Worker - Clinical in Sioux Falls, SD

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
7401 S BITTERROOT PL STE 301, SIOUX FALLS, SD 57108(605) 405-8532 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Apr 23, 2019 (2 updates tracked since 2019).

About Helena Marie Dufault Lcsw, Act NPPES

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

HELENA MARIE DUFAULT LCSW, ACT (NPI 1689238941) is an individual clinical provider in Sioux Falls, South Dakota, licensed in South Dakota (3275) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sioux Falls, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689238941
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHELENA MARIE DUFAULTCredential: LCSW, ACT
Location Address7401 S BITTERROOT PL STE 301Sioux Falls, SD 57108-1610
Mailing Address2404 S 4th AveSioux Falls, SD 57105-3955 · (605) 376-2691
Phone(605) 405-8532
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 23, 2019
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1689238941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SD · 3275
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 7998 (SD)
7401 S BITTERROOT PL STE 301, Sioux Falls, SD 57108
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Secondary Practice Location 1

Location 12412 S Cliff AveSioux Falls, SD 57105-4031 · Phone (605) 322-4079

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, 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

Helena Marie Dufault Lcsw, Act 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 ID4981937562
PECOS Enrollment IDI20190613001915
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.

Other Providers at the Same Location NPPES

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

RESTORE COUNSELING LLC
Counselor (Mental Health)
7401 S BITTERROOT PL STE 301
SIOUX FALLS, SD 57108
Lincoln County (605) 405-8532

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 Helena Dufault's NPI number?

The NPI number for Helena Dufault is 1689238941. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Helena Dufault located?

Helena Dufault practices at 7401 S Bitterroot Pl Ste 301, Sioux Falls, SD 57108. The listed phone number is (605) 405-8532.

What is Helena Dufault's specialty?

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

Is Helena Dufault enrolled in Medicare?

Yes. Helena Dufault 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 Helena Dufault accept?

Health plans from Avera Health Plans and Sanford Health Plan list Helena Dufault 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 Helena Dufault was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.