Provider Demographics
NPI:1033148853
Name:GERINGER, DENISE RANAE (LCSW, LAC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:RANAE
Last Name:GERINGER
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:R
Other - Last Name:OLMSTEAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW LAC
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 2ND AVE NE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3373
Practice Address - Country:US
Practice Address - Phone:701-251-6000
Practice Address - Fax:701-323-5709
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
ND1489101YA0400X
ND34801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND60K4OLOtherBCBS MN PROVIDER NUMBER
ND54521Medicaid
ND1473935Medicaid
ND024993OtherBCBS ND PROVIDER NUMBER