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Dylan Dethlefsen , CSW, QMHP

Social Worker β€’ Wagner, SD

Active NPI 1740961572 Individual Practitioner Male Practitioner
Practice location in NPPES

513 3rd St Sw
Wagner, SD 573809675

Call 6053847390 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

513 3rd St Sw

Wagner, SD 573809675

Telephone 6053847390
Organization at the Same NPPES Address or Phone
Wagner Community Memorial Hospital Facility NPI 1326030974

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dylan Dethlefsen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dylan Dethlefsen as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wagner and South Dakota

2 active clinicians are listed under Social Worker with a practice address in Wagner, SD (234 in South Dakota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-08
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES SD 6857

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: South Dakota State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20251001001524

Enrollment State Jurisdiction

SD

PECOS Control ID

3274039011

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Berkley Erickson , CNP

Nurse Practitioner - Family

NPI 1619582699

Certified Nurse Practitioner

Ryan Kocer , CNP

Nurse Practitioner - Family

NPI 1356824148

Certified Nurse Practitioner

Mikaela Koenig

Family Medicine

NPI 1609253806
Jarod Myer , FNP-C

Family Medicine

NPI 1104517796

Family Nurse Practitioner (Certified)

Lindsey Nedved , NP-C

Nurse Practitioner - Family

NPI 1013377944

Nurse Practitioner (Certified)

Cassie Nelson , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1487263513

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 08, 2026

Recorded as DYLAN DETHLEFSEN, CSW, QMHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Social Worker (license number reported to NPPES: SD 6857)

πŸ“
Updated Practice Location July 31, 2025

Registered at 513 3RD ST SW, WAGNER, SD 573809675 (Tel: 6053847390)

πŸ“
Updated Business Mailing Address July 31, 2025

Registered at 513 3RD ST SW, WAGNER, SD 573809675 (Tel: 6053847390)

πŸ‘€
Provider Name / Credentials Updated July 31, 2025

Recorded as DYLAN MILLER, CSW, QMHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Social Worker (license number reported to NPPES: SD 6857)

βœ…
NPI Profile Active July 25, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 25, 2023

Registered at 1028 WALNUT ST, YANKTON, SD 570782910 (Tel: 6056654606)

πŸ“
Business Mailing Address (Initial Record) July 25, 2023

Registered at 1028 WALNUT ST, YANKTON, SD 570782910 (Tel: 6056654606)

πŸ‘€
Provider Name / Credentials (Initial Record) July 25, 2023

Recorded as DYLAN DETHLEFSEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2023

Counselor

🟒
Initial NPI Registration & Enumeration July 25, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740961572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2023
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

513 3rd St Sw

Wagner, SD 573809675

Phone: 6053847390

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.