MEDICARE: ROBYN NIEWENHUIS CSW-PIP

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

General Provider Information

NPI Number	:	1962070185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN NIEWENHUIS CSW-PIP

Provider Business Mailing Address
First Line	:	7401 S BITTERROOT PL STE 302
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-1610
Country	:	US
Telephone Number	:	605-413-5667
Fax Number	:

Provider Business Practice Location Address
First Line	:	7401 S BITTERROOT PL STE 302
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-1610
Country	:	US
Telephone Number	:	605-413-5667
Fax Number	:

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

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	12/04/2025

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