Provider Demographics
NPI:1487368171
Name:KEGLER, SARAJO (LCSW LAC)
Entity type:Individual
Prefix:
First Name:SARAJO
Middle Name:
Last Name:KEGLER
Suffix:
Gender:F
Credentials:LCSW LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N DAKOTA AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-6040
Mailing Address - Country:US
Mailing Address - Phone:605-460-1287
Mailing Address - Fax:605-599-7056
Practice Address - Street 1:300 N DAKOTA AVE STE 610
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6040
Practice Address - Country:US
Practice Address - Phone:605-460-1287
Practice Address - Fax:605-599-7056
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
SD6298104100000X
SD6295104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker