Active NPI
Sara Lynn Struckman, CSW-PIP
- Social Worker
- Watertown, SD
National Provider Identifier
1417535394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6496
- Practice address
- 120 3Rd Ave NW
Watertown, SD 57201-2311 - Phone
- (605) 886-5262
- Fax
- (605) 886-5228
- NPI assigned
- Mar 31, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6496 | 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
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 3Rd Ave NW
Watertown, SD 57201-2311
Phone (605) 886-5262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6496 | SD | MD | Oncology Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Counseling Center Inc. | Social Worker | 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": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1417535394",
"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": "STRUCKMAN",
"first_name": "SARA",
"middle_name": "LYNN",
"credential": "CSW-PIP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "6496",
"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 Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.