Healthcare Provider Details

I. General information

NPI: 1609737527
Provider Name (Legal Business Name): CAITLYN REGINA KROGMAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 4TH ST
BROOKINGS SD
57006-1917
US

IV. Provider business mailing address

2002 17TH AVE S
BROOKINGS SD
57006-5468
US

V. Phone/Fax

Practice location:
  • Phone: 605-697-2850
  • Fax:
Mailing address:
  • Phone: 605-697-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: