Organization Active NPI

Southwick Counseling LLC

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1346957495
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUTHWICK COUNSELING LLC
Practice address
5201 S Western Ave
Sioux Falls, SD 57108-5040
Phone
(605) 759-5986
NPI assigned
Oct 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Kristi Southwick, MSW, LCSW-PIP
Title
Counselor
Phone
(605) 759-5986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5201 S Western Ave
Sioux Falls, SD 57108-5040

Mailing address

2408 S 1St Ave
Sioux Falls, SD 57105-3908
Phone (605) 759-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320001252 SD Part B Supplier - Clinic/Group Practice 3971977638 Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1346957495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 S 1ST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053908",
            "telephone_number": "605-759-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085040",
            "telephone_number": "605-759-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWICK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "605-759-5986",
        "authorized_official_credential": "MSW, LCSW-PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.