Active NPI
Susan N Kornder, LCSW-PIP
- Clinical Social Worker
- Aberdeen, SD
National Provider Identifier
1750459335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2737
- Practice address
- 14 S Main St
Suite 1E
Aberdeen, SD 57401-4136 - Phone
- (605) 225-1010
- Fax
- (605) 225-1017
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2737 | SD | Primary |
Addresses
Primary practice location
14 S Main St
Suite 1E
Aberdeen, SD 57401-4136
Mailing address
14 S Main St
Suite 1E
Aberdeen, SD 57401-4136
Phone (605) 225-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6570320 | Medicaid | SD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2737 | SD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1750459335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 S MAIN ST",
"address_2": "SUITE 1E",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014136",
"telephone_number": "605-225-1010",
"fax_number": "605-225-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 S MAIN ST",
"address_2": "SUITE 1E",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014136",
"telephone_number": "605-225-1010",
"fax_number": "605-225-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNDER",
"first_name": "SUSAN",
"middle_name": "N",
"credential": "LCSW-PIP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "2737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6570320",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.