MEDICARE: MS. VIRGINIA STRUBBE 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	1041C0700X	Clinical Social Worker	6729	ND
2	1041C0700X	Clinical Social Worker	1664	WY
3	1041C0700X	Clinical Social Worker	70731	MT
4	1041C0700X	Clinical Social Worker	6380	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6380	OTHER	SD	LICENSE
2	1664	OTHER	WY	LICENSE
3	6729	OTHER	ND	LICENSE
4	70731	OTHER	MT	LICENSE

General Provider Information

NPI Number	:	1578931515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIRGINIA STRUBBE LCSW

Provider Business Mailing Address
First Line	:	26547 461ST AVE
Second Line	:
City	:	HARTFORD
State	:	SD
Zip	:	57033-6701
Country	:	US
Telephone Number	:	605-661-6906
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 W 47TH ST STE 103
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-6339
Country	:	US
Telephone Number	:	605-271-1081
Fax Number	:

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

Provider Enumeration Date	:	09/08/2015
Last Update Date	:	10/25/2024

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Directions to “ MS. VIRGINIA STRUBBE LCSW” Practice Location

Language	Start Address	Practice Location

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