Maggie Suzann Jensen, LCSW, LAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5202 Issued in SD

Practice address

311 Cedar St
Yankton, SD 57078-4335

Phone

(605) 689-0457

NPI assigned

Mar 23, 2021

Last updated

Jan 26, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Meridian Counseling & Family Services, LLC

  • Clinical Social Worker
  • Yankton, SD
  • NPI 1447713318
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1609452184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CEDAR ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784335",
            "telephone_number": "605-689-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CEDAR ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784335",
            "telephone_number": "605-689-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MAGGIE",
        "middle_name": "SUZANN",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "12101554",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellee Irvin
• Timothy Lee Irwin, M.D.
• Carroll Isburg, MD
• James D Kerr
• Benjamin D Jensen, DDS
• Darcy Jilek, PHARM.D.
• Tamunoimama V John
• Andrew D Johnson
• Estelle Johnson, LPC
• Jeffrey A Johnson, MD

• Social Worker in Yankton, SD
• Providers in Yankton, 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 Jan 26, 2023; 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.