NPIMap

Individual provider Active NPI

Samantha Zabka

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1083034219
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1514, 4274 Issued in NE
Practice address
5715 S 34TH St Ste 100
Lincoln, NE 68516-6648
Phone
(402) 488-1363
Fax
(402) 488-6976
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1514, 4274 NE Primary

Addresses

Primary practice location

5715 S 34TH St Ste 100
Lincoln, NE 68516-6648

Mailing address

5715 S 34TH St Ste 100
Lincoln, NE 68516-6648
Phone (402) 488-1363

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514, 4274NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Preferred Choice, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1083034219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 S 34TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166648",
            "telephone_number": "402-488-1363",
            "fax_number": "402-488-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 S 34TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166648",
            "telephone_number": "402-488-1363",
            "fax_number": "402-488-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABKA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1514, 4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.