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

Mikenzie Eckroth, LCSW

Individual provider Social Worker · NPI 1104512201

Mikenzie Eckroth, LCSW is a Clinical Social Worker in West Fargo, North Dakota. Qualified in 2023, 3 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone: (701) 234-4445
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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 5615 (ND)
Social Worker Taxonomy 104100000X · Licence 5615 (ND)

Record details

NPI number1104512201
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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