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NPI Code Detail

MEDICARE: MORRIS PATZLAFF LICSW

MEDICARE:   MORRIS  PATZLAFF  LICSW
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
11041C0700XClinical Social Worker10186MN
21041C0700XClinical Social Worker931SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275636540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORRIS PATZLAFF LICSW
Provider Business Mailing Address
First Line : 2601 S MINNESOTA AVE STE 105
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-4750
Country : US
Telephone Number : 605-315-3142
Fax Number : 605-315-3142
Provider Business Practice Location Address
First Line : 2601 S MINNESOTA AVE STE 105
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-4750
Country : US
Telephone Number : 605-315-3142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 11/17/2025

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Directions to “ MORRIS PATZLAFF LICSW” Practice Location

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