Active NPI
Gwyndelyn J Roberts, LMHP CMSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1013998749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1148
- Practice address
- 6720 N 30TH St
Omaha, NE 68112-3211 - Phone
- (402) 451-6244
- Fax
- (402) 455-1064
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHP 2848 | NE | |
| Clinical Social Worker | 1041C0700X | 1148 | NE | Primary |
Addresses
Primary practice location
6720 N 30TH St
Omaha, NE 68112-3211
Mailing address
17323 S Creek Cir
Omaha, NE 68136-3163
Phone (402) 964-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHP 2848 | NE | MD | Mental Health Counselor |
| 1148 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013998749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17323 S CREEK CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681363163",
"telephone_number": "402-964-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681123211",
"telephone_number": "402-451-6244",
"fax_number": "402-455-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "GWYNDELYN",
"middle_name": "J",
"credential": "LMHP CMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "LMHP 2848",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.