Individual provider · Type 1 NPI

Mikenzie Eckroth, LCSW

Clinical Social Worker · West Fargo, ND

NPI number 1104512201 Active

Practice location

1220 Sheyenne St
West Fargo, ND 58078-2637

Call (701) 234-4445 Map

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X5615 (ND)
Clinical Social Worker Primary 1041C0700X5615 (ND)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104512201

Mikenzie Eckroth, LCSW's National Provider Identifier is 1104512201, issued on Apr 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Fargo, ND. The record was last updated on Jan 24, 2025.