Mary Kurniawan, LICSW
NPI 1992242762 · Clinical Social Worker · Rapid City, SD
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Kurniawan, LICSW is a Clinical Social Worker provider in Rapid City, SD (NPI 1992242762).
Provider details
- NPI number
- 1992242762
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3497 (SD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2017-04-24
Frequently asked questions
- What is Mary Kurniawan's NPI number?
- Mary Kurniawan's National Provider Identifier (NPI) is 1992242762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Kurniawan's specialty?
- Mary Kurniawan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Kurniawan located?
- Mary Kurniawan's practice location on file with NPPES is 915 Mt View Rd, Rapid City, SD 57702-3414.
- What is Mary Kurniawan's phone number?
- The practice phone number listed in the NPPES registry for Mary Kurniawan is (605) 755-7300.
- Does Mary Kurniawan accept Medicare?
- Mary Kurniawan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Kurniawan's NPI active?
- Yes — Mary Kurniawan's NPI (1992242762) is active in the NPPES registry as of the last update on 2017-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.