Active NPI
Southwick Counseling LLC
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1346957495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230320001252 | SD | Part B Supplier - Clinic/Group Practice | 3971977638 | Practice locations: Sioux Falls, SD |
National Provider Directory
National Provider DirectoryNPI 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.