Active NPI
Kyla Peterson, LCSW
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1740041318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Sioux Falls | Current | Accepting new patients | |
| City of Sioux Falls | Current | Accepting new patients | |
| Midwest Wellness Institute, PLLC | Current | Accepting new patients | |
| Turnwell Mental Health of South Dakota, PC | Social Worker | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1851729552
SD
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1720850183
SD, Social Worker
-
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1508103243
-
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1043172463
-
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1609025907
-
- Federally Qualified Health Center (FQHC)
- Sioux Falls, SD
- NPI 1902130818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.