Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DYLAN DETHLEFSEN CSW, QMHP
NPI 1740961572
Social Worker in Wagner, SD

Q: What is Dylan Dethlefsen's NPI number?

The NPI number for Dylan Dethlefsen is 1740961572. It was assigned to this individual provider in the NPPES registry on July 25, 2023. The provider is also known as Dylan Miller.

Q: What is Dylan Dethlefsen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Dylan Dethlefsen was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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 July 25, 2023PECOS Enrolled

513 3RD ST SW, WAGNER, SD 57380(605) 384-7390 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2026, Jul 25, 2023 (2 updates tracked since 2023).

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About Dylan Dethlefsen Csw, Qmhp NPPES

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

DYLAN DETHLEFSEN CSW, QMHP (NPI 1740961572) is an individual social worker in Wagner, South Dakota, licensed in South Dakota (6857) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740961572

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameDYLAN DETHLEFSENCredential: CSW, QMHP

Location Address513 3RD ST SWWagner, SD 57380-9675

Mailing Address513 3rd St SwWagner, SD 57380-9675 · (605) 384-7390

Phone(605) 384-7390

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 25, 2023

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1740961572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in SD · 6857

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

513 3RD ST SW, Wagner, SD 57380

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Other Names 1

Former Name (1)Dylan Miller

Accepted Insurance

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

Dylan Dethlefsen Csw, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274039011

PECOS Enrollment IDI20251001001524

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.

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.

LINDSEY NEDVED NP-C

Nurse Practitioner (Family)