EMILY JOY ZWEIFEL CSW-PIP
NPI 1881190312
Social Worker - Clinical in Sioux Falls, SD

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1309 W 17TH ST, SIOUX FALLS, SD 57104(605) 328-8084(605) 328-8001 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Emily Joy Zweifel Csw-pip NPPES

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

EMILY JOY ZWEIFEL CSW-PIP (NPI 1881190312) is an individual clinical provider in Sioux Falls, South Dakota, licensed in South Dakota (4801) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1881190312
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY JOY ZWEIFELCredential: CSW-PIP
Location Address1309 W 17TH STSioux Falls, SD 57104-4663
Mailing Address1309 W 17th StSioux Falls, SD 57104-4663 · (605) 328-8084 · Fax (605) 328-8001
Fax(605) 328-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 3, 2018
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1881190312 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 · 4801
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 · Mental HealthTaxonomy 101YM0800X · License 4801 (SD)
1309 W 17TH ST, Sioux Falls, SD 57104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Joy Zweifel Csw-pip 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 ID8628333499
PECOS Enrollment IDI20180525001493
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emily Zweifel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
136 S PHILLIPS AVE STE 102
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Nurse Practitioner (Family)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST
SIOUX FALLS, SD 57104
Dietitian, Registered
1309 W 17TH ST
SIOUX FALLS, SD 57104
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Genetic Counselor, MS
1309 W 17TH ST
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST, STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner (Acute Care)
1309 W 17TH ST
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 Emily Zweifel's NPI number?

The NPI number for Emily Zweifel is 1881190312. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Emily Zweifel located?

Emily Zweifel practices at 1309 W 17th St, Sioux Falls, SD 57104. The listed phone number is (605) 328-8084.

What is Emily Zweifel's specialty?

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

Is Emily Zweifel enrolled in Medicare?

Yes. Emily Zweifel 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.

Which organizations bill Medicare for Emily Zweifel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Zweifel reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Zweifel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Zweifel accept?

Health plans from Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Emily Zweifel 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.

Is Emily Zweifel affiliated with any hospitals?

According to CMS data, Emily Zweifel is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Zweifel was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.