Individual provider Active NPI

Sarah Jo Dykstra, LCSW-PIP

  • Clinical Social Worker
  • Watertown, SD
National Provider Identifier
1144797804
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4872 Issued in SD
Practice address
120 3Rd Ave NW
Watertown, SD 57201-2311
Phone
(605) 886-5262
Fax
(605) 886-5228
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4872 SD Primary

Addresses

Primary practice location

120 3Rd Ave NW
Watertown, SD 57201-2311

Mailing address

120 3Rd Ave NW
Watertown, SD 57201-2311
Phone (605) 886-5262

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

LicenseStateTypeSpecialty
4872SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Counseling Center Inc. Clinical CurrentSince Feb 2, 2025 Accepting new patients

Locations

120 3rd Ave NW
Watertown, SD 57201
Phone (605) 886-5262

600 4th St NE
Ste 203
Watertown, SD 57201
Phone (605) 886-4092

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1144797804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 3RD AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572012311",
            "telephone_number": "605-886-5262",
            "fax_number": "605-886-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 3RD AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572012311",
            "telephone_number": "605-886-5262",
            "fax_number": "605-886-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "SARAH",
        "middle_name": "JO",
        "credential": "LCSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2025-01-30",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.