Individual provider Active NPI

Emily Candice Iske, LCSW, LMHP

  • Clinical Social Worker
  • Syracuse, NE
National Provider Identifier
1154948131
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1387 Issued in NE
Practice address
2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone
(402) 269-2011
Fax
(402) 269-7660
NPI assigned
Jun 25, 2020
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3833 NE
Clinical Social Worker 1041C0700X 1387 NE Primary

Addresses

Primary practice location

2731 Healthcare Dr
Syracuse, NE 68446-7880

Mailing address

2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone (402) 269-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: No
  • 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
I20221115002771 NE Practitioner - Clinical Social Worker 4082082466 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1387NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital District Current Accepting new patients
Community Memorial Hospital District CurrentSince Oct 1, 2022 Accepting new patients
Community Memorial Hospital District Current Accepting new patients
Community Memorial Hospital District CurrentSince Oct 1, 2022 Accepting new patients

Locations

7121 Stephanie Ln
Ste 100
Lincoln, NE 68516
Phone (402) 420-3500

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

Organizations & group practices 4

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1154948131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 HEALTHCARE DR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684467880",
            "telephone_number": "402-269-2011",
            "fax_number": "402-269-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 HEALTHCARE DR",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684467880",
            "telephone_number": "402-269-2011",
            "fax_number": "402-269-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKE",
        "first_name": "EMILY",
        "middle_name": "CANDICE",
        "credential": "LCSW, LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NE

Sources for this page

Verify at the official NPI Registry.