Active NPI
Mackenzie Ashley Morgan
- Clinical Social Worker
- Huron, SD
National Provider Identifier
1699375220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6614
- Practice address
- 357 Kansas Ave SE
Huron, SD 57350-2517 - Phone
- (605) 352-8596
- NPI assigned
- Nov 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Clinical Social Worker | 1041C0700X | 6614 | SD | Primary |
Addresses
Primary practice location
357 Kansas Ave SE
Huron, SD 57350-2517
Mailing address
312 Bisset St
Yale, SD 57386-2109
Phone (605) 353-5656
Other practice location 1
312 Bisset St
Yale, SD 57386-2109
Phone (605) 353-5656
Other names 1
- Mackenzie Ashley Stulken
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6614 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Service | Current | Accepting new patients |
Locations
357 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-8596
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Huron, SD
- NPI 1932167277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1699375220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 BISSET ST",
"city": "YALE",
"state": "SD",
"postal_code": "573862109",
"telephone_number": "605-353-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 KANSAS AVE SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502517",
"telephone_number": "605-352-8596"
}
],
"practiceLocations": [
{
"address_1": "312 Bisset St",
"address_purpose": "LOCATION",
"city": "Yale",
"state": "SD",
"postal_code": "573862109",
"country_code": "US",
"telephone_number": "605-353-5656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "MACKENZIE",
"middle_name": "ASHLEY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-01",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "6614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MACKENZIE",
"last_name": "STULKEN",
"middle_name": "ASHLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.