MEDICARE: MEGAN WIPF

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	6053	SD

General Provider Information

NPI Number	:	1164141172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN WIPF

Provider Business Mailing Address
First Line	:	1908 S LINCOLN AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-2331
Country	:	US
Telephone Number	:	605-496-1521
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 W 69TH ST STE 100
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-8172
Country	:	US
Telephone Number	:	605-322-4056
Fax Number	:	605-504-3548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2022
Last Update Date	:	11/25/2024

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Directions to “ MEGAN WIPF ” Practice Location

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