Healthcare Provider Details

I. General information

NPI: 1942935028
Provider Name (Legal Business Name): LINDSAY K ROGNESS LCSW-PIP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 01/30/2025
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 3RD AVE NW
WATERTOWN SD
57201-2311
US

IV. Provider business mailing address

120 3RD AVE NW
WATERTOWN SD
57201-2311
US

V. Phone/Fax

Practice location:
  • Phone: 605-886-5262
  • Fax: 605-886-5228
Mailing address:
  • Phone: 605-886-5262
  • Fax: 605-886-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6731
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: