MIKENZIE ECKROTH LCSW
NPI 1104512201
Social Worker - Clinical in West Fargo, ND

Q: What is Mikenzie Eckroth's NPI number?

The NPI number for Mikenzie Eckroth is 1104512201. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Mikenzie Eckroth's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mikenzie Eckroth was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment

1220 SHEYENNE ST, WEST FARGO, ND 58078(701) 234-4445 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mikenzie Eckroth Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKENZIE ECKROTH LCSW (NPI 1104512201) is an individual clinical provider in West Fargo, North Dakota, licensed in North Dakota (5615) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104512201

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMIKENZIE ECKROTHCredential: LCSW

Location Address1220 SHEYENNE STWest Fargo, ND 58078-2637

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-4445

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 12, 2023

Last NPPES UpdateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1104512201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ND · 5615

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 5615 (ND)

1220 SHEYENNE ST, West Fargo, ND 58078

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikenzie Eckroth Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911437199

PECOS Enrollment IDI20250204002447

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.75 – $168.12

Typical copayment $0.00 (range $13.93 – $42.03)

Most-billed visit code NA

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA NICOLE VINGELEN NP-C

Nurse Practitioner (Family)