Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carleen Annette Mazour, CSW

Individual provider Social Worker · NPI 1124860119

Carleen Annette Mazour, CSW is a Clinical Social Worker in Rapid City, South Dakota. Qualified in 2021, 5 years ago. Licensed in South Dakota.

Years since qualifying
5
Licensed in
SD
In the registry since
2024
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Practice location Address checks out

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone: (605) 355-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6279 (SD)

Record details

NPI number1124860119
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Rapid City