Individual provider Active NPI

Natalie McKenzie Scarpa, PLMHP, PCMSW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1083205090
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11659 Issued in NE
Practice address
15292 Blackwell Dr
Omaha, NE 68137-2439
Phone
(402) 719-3318
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 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 11659 NE Primary

Addresses

Primary practice location

15292 Blackwell Dr
Omaha, NE 68137-2439

Mailing address

15292 Blackwell Dr
Omaha, NE 68137-2439
Phone (402) 719-3318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009001768 NE Practitioner - Clinical Social Worker 0244685477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1169NEMDMental Health Counselor
11659NEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Collective LLC Clinical CurrentSince Aug 29, 2023 Accepting new patients

Locations

2809 S 160th St
Ste 101
Omaha, NE 68130
Phone (402) 205-5120

5824 S 142nd St
Ste A
Omaha, NE 68137
Phone (402) 205-5120

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1083205090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15292 BLACKWELL DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372439",
            "telephone_number": "402-719-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15292 BLACKWELL DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372439",
            "telephone_number": "402-719-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPA",
        "first_name": "NATALIE",
        "middle_name": "MCKENZIE",
        "credential": "PLMHP, PCMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "11659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.