Individual provider Active NPI

Michael Lockwood, LCSW-PIP

  • Clinical Social Worker
  • Aberdeen, SD
National Provider Identifier
1164912648
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6381 Issued in SD
Practice address
1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950
Phone
(605) 225-3622
Fax
(605) 229-2719
NPI assigned
May 10, 2018
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 6381 SD Primary

Addresses

Primary practice location

1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950

Mailing address

1409 6TH Ave SE Ste 5
Aberdeen, SD 57401-4950
Phone (605) 225-3622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009000459 SD Practitioner - Clinical Social Worker 4284980012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Northern Plains Psychological Associates LLCGroup PAC ID 4981088713, 7 clinicians

Practice addresses (Care Compare)

1409 6TH Ave SE
Suite 5
Aberdeen, SD 57401-4950
Phone (605) 225-3622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6381SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Plains Psychological Associates, LLC Clinical CurrentSince Aug 16, 2023 Accepting new patients

Locations

1409 6th Ave SE
Ste 5
Aberdeen, SD 57401
Phone (605) 225-3622

405 8th Ave NW
Ste 333
Aberdeen, SD 57401
Phone (605) 225-3622

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1164912648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 5",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-225-3622",
            "fax_number": "605-229-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 5",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-225-3622",
            "fax_number": "605-229-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "MICHAEL",
        "credential": "LCSW-PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2025-06-16",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.