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

Mary Beth Dornheim, LICSW

Individual provider Clinical Social Worker · NPI 1356487227

Mary Beth Dornheim, LICSW is a Clinical Social Worker in Sioux Falls, South Dakota. Qualified in 1999, 27 years ago. Practices with Sanford Medical Center, a 842-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and South Dakota.

Years since qualifying
27
Licensed in
MN, SD
In the registry since
2007
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2400 W 49th St
Sioux Falls, SD 57105-6581
Phone: (605) 312-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 E 21st St, Sioux Falls, SD 57105-1016 — (605) 322-4005

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19740 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 173889 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4781 (SD)

Record details

NPI number1356487227
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Sioux Falls