Mikenzie Eckroth, LCSW
Social Worker, Clinical in West Fargo, ND. Individual provider (NPI-1).
NPI number1104512201
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1104512201
- Entity type
- Individual (NPI-1)
- Name
- Mikenzie Eckroth
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2023
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5615 | ND | Yes |
| 104100000X | Social Worker | 5615 | ND |
Practice location
1220 Sheyenne StWest Fargo, ND 58078-2637
Phone 701-234-4445
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
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