MEDICARE: ANNIE ELIZABETH NESBITT MSW, LCSW

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	104100000X	Social Worker	6487	SD

General Provider Information

NPI Number	:	1467214288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE ELIZABETH NESBITT MSW, LCSW

Provider Business Mailing Address
First Line	:	2701 S ELMWOOD AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-4341
Country	:	US
Telephone Number	:	605-351-1483
Fax Number	:

Provider Business Practice Location Address
First Line	:	5021 S BUR OAK PL
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2228
Country	:	US
Telephone Number	:	605-351-1483
Fax Number	:

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

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	05/14/2026

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