Individual provider Active NPI

Mackenzie Ashley Morgan

  • Clinical Social Worker
  • Huron, SD
National Provider Identifier
1699375220
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6614 Issued in SD
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

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
6614SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Service CurrentSince Aug 18, 2024 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.

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.

Verify at the official NPI Registry.