Kenneth Clark Komyathy, LCSW
Individual provider Active NPI Clinical Social Worker · Offutt a F B, NE
NPI 1114911591 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1114911591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1084 (NE)
- Practice address
- 55 Mdos Sgo
2501 Capehart Road
Offutt a F B, NE 68113-1712 - Phone
- (402) 294-7886
- Fax
- (402) 232-7291
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 55 Mdos | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1084 | NE | Yes |
Addresses
Primary practice location
55 Mdos Sgo
2501 Capehart Road
Offutt a F B, NE 68113-1712
Mailing address
55 Mdos Sgo
2501 Capehart Road
Offutt a F B, NE 68113-1712
Phone (402) 294-7886
Other providers in Offutt a F B, NE
- Karolyn A Harris
- Kendra Lynn Haynes
- Andrea Jefferson
- Mary Coleen Jungman
- Elwood Wilbur Kline
- Bradley David Kusler
- Kerry Lainof
- Dale Richard Lush
- Laurie Jean McMullan
- Nicholas Lawrence Milewski
All providers in Offutt a F B, NE · Clinical Social Worker in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.