Individual provider Active NPI

Ayana Foluke McKanney, LCSW

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1508672049
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098940 Issued in NY
Practice address
519 W 22ND St
Suite 100 #93052
Sioux Falls, SD 57105
Phone
(917) 923-3699
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW04317 RI
Clinical Social Worker 1041C0700X 44SL06739500 NJ
School Social Worker 1041S0200X 1532124211 NY
Clinical Social Worker 1041C0700X 098940 NY Primary

Addresses

Primary practice location

519 W 22ND St
Suite 100 #93052
Sioux Falls, SD 57105

Mailing address

519 W 22ND St
Suite 100 #93052
Sioux Falls, SD 57105
Phone (917) 923-3699

Other practice location 1

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (888) 500-2067

Other identifiers 2

IdentifierTypeStateIssuer
ISW04317OtherRILICENSE
44SL06739500OtherNJLICENSE

Other names 1

  • Ayana McKanney Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241231000650 NY Practitioner - Clinical Social Worker 7315474434 Reassigns benefits to 1 organization
I20250415000874 NJ Practitioner - Clinical Social Worker 7315474434 Reassigns benefits to 1 organization
I20260406002068 RI Practitioner - Clinical Social Worker 7315474434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06739500NJMDClinical Social Worker
ISW04317RIMDClinical Social Worker
1532124211NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Mar 21, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 7, 2024 Accepting new patients
Cartwheel Health Services PC Clinical Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

Organizations & group practices 3

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1508672049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W 22ND ST",
            "address_2": "SUITE 100 #93052",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "917-923-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W 22ND ST",
            "address_2": "SUITE 100 #93052",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "917-923-3699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLUKE MCKANNEY",
        "first_name": "AYANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04317",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06739500",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "1532124211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ISW04317",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44SL06739500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYANA",
            "last_name": "MCKANNEY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.