Individual provider Active NPI

Kyla Peterson, LCSW

  • Clinical Social Worker
  • Sioux Falls, SD
National Provider Identifier
1740041318
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4308 S Arway Dr
Sioux Falls, SD 57106-3131
Phone
(480) 508-0882
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4308 S Arway Dr
Sioux Falls, SD 57106-3131

Mailing address

4308 S Arway Dr
Sioux Falls, SD 57106-3131

Other names 1

  • Kyla Krogman Other name

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
I20240418000616 SD Practitioner - Clinical Social Worker 1456790849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Sioux Falls 21 clinicians

Practice addresses (Care Compare)

521 N Main Ave
Suite 100
Sioux Falls, SD 57104-5948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Sioux Falls CurrentSince Apr 1, 2024 Accepting new patients
City of Sioux Falls Current Accepting new patients
Midwest Wellness Institute, PLLC CurrentSince Jun 6, 2024 Accepting new patients
Turnwell Mental Health of South Dakota, PC Social Worker CurrentSince May 30, 2024 Accepting new patients

Locations

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

4308 S Arway Dr
Sioux Falls, SD 57106
Phone (507) 220-1585

Organizations & group practices 7

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1740041318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 S ARWAY DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 S ARWAY DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063131",
            "telephone_number": "480-508-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLA",
            "last_name": "KROGMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.