Jan M Sanford, LPC-MH, QMHP, LSWA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSWA 2146 Issued in SD

Practice address

309 2ND Ave SE
Watertown, SD 57201-3621

Phone

(605) 886-6321

Fax

(605) 886-6306

NPI assigned

Jan 17, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Catholic Family Services

  • Mental Health Counselor
  • Watertown, SD
  • NPI 1790857860
  NPD (past)
• Catholic Family Services

  • Professional Counselor
  • Sioux Falls, SD
  • NPI 1932114469

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1538211701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 2ND AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013621",
            "telephone_number": "605-886-6321",
            "fax_number": "605-886-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 2ND AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013621",
            "telephone_number": "605-886-6321",
            "fax_number": "605-886-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "JAN",
        "middle_name": "M",
        "credential": "LPC-MH, QMHP, LSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH 2087",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-MH 2087",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "LSWA 2146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "46045",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "4997066",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575620",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9173854",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "11350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154887500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "20202",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanford Clinic (Sanford Clinic Watertown)
• Sanford Clinic (Watertown Family Planning)
• Sanford Clinic (Sanford Clinic Ear, Nose & Throat Watertown)
• Sanford Medical Center (Sanford Clinic Watertown Surgical Center)
• Sanford Medical Center (Lewis Family Drug #48)
• James Carl Saylor, D.D.S.
• Amanda L Schaeffer
• Jacob Steven Schaeffer, MD
• Becky Kay Schaible, RD LN
• Gwen M Schaunaman, MD

• Social Worker in Watertown, SD
• Providers in Watertown, SD by specialty
• Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.