Healthcare Provider Details

I. General information

NPI: 1124449772
Provider Name (Legal Business Name): ASHLEY L TERMANSEN LCSW-PIP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY L RAMSTAD

II. Dates (important events)

Enumeration Date: 12/30/2013
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5032 S BUR OAK PL STE 217
SIOUX FALLS SD
57108
US

IV. Provider business mailing address

904 W 23RD ST STE 101 HEARTLAND PSYCHOLOGICAL SERVICES
YANKTON SD
57078-1206
US

V. Phone/Fax

Practice location:
  • Phone: 605-206-7474
  • Fax: 605-271-1671
Mailing address:
  • Phone: 605-665-0841
  • Fax: 605-665-0096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2966
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: