Individual provider Active NPI

Jennifer Ann Lunder, CSW

  • Social Worker
  • Sioux Falls, SD
National Provider Identifier
1679052492
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4836 Issued in SD
Practice address
705 E 41St St
Sioux Falls, SD 57105-6053
Phone
(605) 444-7500
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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 4836 SD Primary

Addresses

Primary practice location

705 E 41St St
Sioux Falls, SD 57105-6053

Mailing address

705 E 41St St
Sioux Falls, SD 57105-6053
Phone (605) 444-7500

Other identifiers 1

IdentifierTypeStateIssuer
4836OtherSDSTATE OF SOUTH DAKOTA CSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4836SDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1679052492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056053",
            "telephone_number": "605-444-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056053",
            "telephone_number": "605-444-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "4836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF SOUTH DAKOTA CSW",
            "identifier": "4836",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.