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

Dylan Dethlefsen, CSW, QMHP

Individual provider Social Worker · NPI 1740961572

Dylan Dethlefsen, CSW, QMHP is a Clinical Social Worker in Wagner, South Dakota. Qualified in 2025, 1 year ago. Licensed in South Dakota.

Years since qualifying
1
Licensed in
SD
In the registry since
2023

Practice location Address checks out

513 3rd St SW
Wagner, SD 57380-9675
Phone: (605) 384-7390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6857 (SD)

Record details

NPI number1740961572
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW , QMHP
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address513 3rd St Sw, Wagner, SD 57380-9675

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Wagner