Healthcare Provider Details

I. General information

NPI: 1033090030
Provider Name (Legal Business Name): JADE RENEE RONK MSW, LCSW, QMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 S MEADOW AVE
SIOUX FALLS SD
57106-0939
US

IV. Provider business mailing address

3205 S MEADOW AVE
SIOUX FALLS SD
57106-0939
US

V. Phone/Fax

Practice location:
  • Phone: 605-838-7933
  • Fax:
Mailing address:
  • Phone: 605-838-7933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07358300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6865
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: