Mikenzie Eckroth, LCSW
NPI 1104512201ActiveIndividual· Social Worker, Clinical· West Fargo, ND
Social Worker, Clinical (LCSW) with Sanford Medical Center Fargo, practicing in West Fargo, North Dakota. Enrolled in Medicare as practitioner - clinical social worker. Lists Sanford Medical Center Fargo as a hospital affiliation.
Overview
| NPI | 1104512201 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 12, 2023 |
| Last updated in NPPES | Jan 24, 2025 |
| Certified by provider | Jan 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5615 | ND |
| Social Worker | 104100000X | 5615 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ND) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliation
- Sanford Medical Center FargoFargo, ND
Other clinical social workers in West Fargo
- 1861279812
- 1932071958
- 1396170445
- 1689451635
- 1982944401