Individual provider Active NPI

Jacklyn Genzlinger, MSW, LCSW

  • Social Worker
  • Sioux Falls, SD
National Provider Identifier
1548733116
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4849 Issued in SD
Practice address
4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone
(605) 322-2980
NPI assigned
Jan 7, 2019
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4849 SD Primary

Addresses

Primary practice location

4500 N Lewis Ave
Sioux Falls, SD 57104-7111

Mailing address

4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone (605) 322-2980

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200227000507 SD Practitioner - Clinical Social Worker 0648607978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

1000 18TH St SW
Huron, SD 57350-3488
Phone (605) 554-1015

208 S Main
Howard, SD 57349-0099
Phone (605) 772-4574

PO Box
Suite 99
Howard, SD 57349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6031SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince May 30, 2023 Accepting new patients
Avera McKennan CurrentSince Mar 1, 2020 Accepting new patients
Horizon Health Care Inc CurrentSince May 30, 2023 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Avera McKennan CurrentSince Mar 1, 2020 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408

4500 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-2980

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1548733116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N LEWIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571047111",
            "telephone_number": "605-322-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N LEWIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571047111",
            "telephone_number": "605-322-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENZLINGER",
        "first_name": "JACKLYN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.