MEDICARE: LISA MINOR MCSW

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	131732	IA
2	1041C0700X	Clinical Social Worker	6842	SD

General Provider Information

NPI Number	:	1528943164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MINOR MCSW

Provider Business Mailing Address
First Line	:	1701 E 69TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-8331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 E 69TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-8331
Country	:	US
Telephone Number	:	605-275-2280
Fax Number	:	605-271-2026

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

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1265128508 — KATHERINE WOUDSTRA PSY.D., LP
Practice Location Address:

1701 E 69TH ST STE A
SIOUX FALLS, SD
57108-8331

Practice Phone: 605-275-2280
Practice Fax:

1629914320 — JORDAN KRUSE
Practice Location Address:

1701 E 69TH ST STE A
SIOUX FALLS, SD
57108-8331

Practice Phone: 605-275-2280
Practice Fax:

1629909924 — EMBER AND BLOOM ART THERAPY
Practice Location Address:

1601 E 69TH ST STE 210
SIOUX FALLS, SD
57108-8586

Practice Phone: 605-215-1108
Practice Fax:

1497682413 — PAIGE GOLDADE APRN
Practice Location Address:

4400 W 69TH ST
SIOUX FALLS, SD
57108-8170

Practice Phone: 605-322-5929
Practice Fax:

1093646952 — RUFUS DOEWAY
Practice Location Address:

7950 S BERGAMOT AVE UNIT 2113
SIOUX FALLS, SD
57108-3845

Practice Phone: 605-937-9412
Practice Fax:

Directions to “ LISA MINOR MCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.