Individual
MICHELLE C MCCLINTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-PIP
Contact information
Practice address
2412 S CLIFF AVE, SUITE 200, SIOUX FALLS, SD 57105-4031
(605) 322-4079
(605) 322-4080
Mailing address
800 E 21ST ST, ATTN; P.F.S., SIOUX FALLS, SD 57105-1016
(605) 322-6400
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2116
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417108770
WELLMARK BCBS OF SD
—
05
—
1417108770
—
MN
01
—
9268404
DAKOTACARE
—
Enumeration date
10/06/2008
Last updated
04/12/2010
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