Mary Beth Dornheim, LICSW
NPI 1356487227 · Clinical Social Worker · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Beth Dornheim, LICSW is a Clinical Social Worker provider in Sioux Falls, SD (NPI 1356487227).
Provider details
- NPI number
- 1356487227
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 173889 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
339 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 321 | $102 |
| Psychiatric Diagnostic Evaluation90791 | 18 | $110 |
Typical Medicare-allowed amounts for these services range $102–$110 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 800 E 21st StSioux Falls, SD 57105-1016Phone: (605) 322-4005
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Frequently asked questions
- What is Mary Beth Dornheim's NPI number?
- Mary Beth Dornheim's National Provider Identifier (NPI) is 1356487227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Beth Dornheim's specialty?
- Mary Beth Dornheim is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Beth Dornheim located?
- Mary Beth Dornheim's practice location on file with NPPES is 2400 W 49th St, Sioux Falls, SD 57105-6581.
- What is Mary Beth Dornheim's phone number?
- The practice phone number listed in the NPPES registry for Mary Beth Dornheim is (605) 312-8700.
- Does Mary Beth Dornheim accept Medicare?
- Mary Beth Dornheim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Beth Dornheim's NPI active?
- Yes — Mary Beth Dornheim's NPI (1356487227) is active in the NPPES registry as of the last update on 2024-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.