Active NPI
Sarah Jo Dykstra, LCSW-PIP
- Clinical Social Worker
- Watertown, SD
National Provider Identifier
1144797804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4872
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4872 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Counseling Center Inc. | Clinical | Current | 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.