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

Stacey Jo Anderson, CSW-PIP

Individual provider Clinical Social Worker · NPI 1508523150

Stacey Jo Anderson, CSW-PIP is a Clinical Social Worker in Rapid City, South Dakota. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in South Dakota.

Years since qualifying
5
Licensed in
SD
In the registry since
2021

Practice location Address checks out

2165 Promise Rd
Rapid City, SD 57701-8981
Phone: (605) 891-4499
Show map & directions

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

Additional practice locations (2)

  • 8216 Chickadee Ln, Black Hawk, SD 57718-9512 — (605) 430-5221
  • 2040 W Main St Ste 203, Rapid City, SD 57702-2446 — (605) 519-9523

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6635 (SD)

Record details

NPI number1508523150
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW-PIP
Sole proprietorYes
NPI enumeratedNovember 18, 2021
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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