MEDICARE: RESILIENCY PROJECT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1225991201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENCY PROJECT

Provider Business Mailing Address
First Line	:	550 N 5TH ST STE 115
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-1375
Country	:	US
Telephone Number	:	307-429-2212
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 N 5TH ST STE 115
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-1375
Country	:	US
Telephone Number	:	605-519-8155
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CANDACE RAINE
Credential	:	LCSW, LICSW, CSW-PIP
Telephone Number	:	605-519-8155

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	06/16/2026

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Directions to “RESILIENCY PROJECT ” Practice Location

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