=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205758984
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MASHAYA ENGEL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2026
-----------------------------------------------------
Last Update Date | 07/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1323 BIA RT 4
-----------------------------------------------------
City | FORT THOMPSON
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57339-7945
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-245-1500
-----------------------------------------------------
Fax | 605-245-2600
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1323 BIA RT 4
-----------------------------------------------------
City | FORT THOMPSON
-----------------------------------------------------
State | SD
-----------------------------------------------------
Zip | 57339-7945
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 605-245-1500
-----------------------------------------------------
Fax | 605-245-2600
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 7026
-----------------------------------------------------
License Number State | SD
-----------------------------------------------------