Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary E Kurniawan, LICSW

Individual provider Clinical Social Worker · NPI 1992242762

Mary E Kurniawan, LICSW is a Clinical Social Worker in Rapid City, South Dakota. Qualified in 2008, 18 years ago. Practices with Monument Health Rapid City Hospital Inc, a 561-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
18
Licensed in
SD
In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

915 Mt View Rd
Rapid City, SD 57702-3414
Phone: (605) 755-7300
Fax: (605) 755-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3497 (SD)

Record details

NPI number1992242762
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 31, 2017
Last updated in NPPESApril 24, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Monument Health Rapid City Hospital Inc — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rapid City