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NPI Code Detail

MEDICARE: KATI LYNN ANDINO CSW

MEDICARE: KATI LYNN ANDINO CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6417SD
2101YA0400XAddiction (Substance Use Disorder) Counselor9101416SD
3104100000XSocial Worker7021SD

General Provider Information

NPI Number : 1427890003
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATI LYNN ANDINO CSW
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 S ELLIS RD
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-7067
Country : US
Telephone Number : 605-312-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 03/06/2026

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Directions to “ KATI LYNN ANDINO CSW” Practice Location

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