Active NPI
Jennifer Putnam, LCSW
- Clinical Social Worker
- Fort Meade, SD
National Provider Identifier
1023706850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-20003
- Practice address
- Black Hills Health Care System
113 Comanche Rd.
Fort Meade, SD 57741 - Phone
- (605) 720-7022
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-20003 | AZ | Primary |
Addresses
Primary practice location
Black Hills Health Care System
113 Comanche Rd.
Fort Meade, SD 57741
Mailing address
Black Hills Health Care System
113 Comanche Road
Fort Meade, SD 57741
Phone (605) 720-7022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-20003 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1023706850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLACK HILLS HEALTH CARE SYSTEM",
"address_2": "113 COMANCHE ROAD",
"city": "FORT MEADE",
"state": "SD",
"postal_code": "57741",
"telephone_number": "605-720-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLACK HILLS HEALTH CARE SYSTEM",
"address_2": "113 COMANCHE RD.",
"city": "FORT MEADE",
"state": "SD",
"postal_code": "57741",
"telephone_number": "605-720-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-20003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Meade, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.