Individual provider Active NPI

Lindsay Melissa Sobczyk, PCMSW

  • School Social Worker
  • Omaha, NE
National Provider Identifier
1205303104
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
7283 Issued in NE
Practice address
4904 N 42ND St
Omaha, NE 68111-1819
Phone
(402) 457-5122
Fax
(402) 457-5122
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 7283 NE Primary

Addresses

Primary practice location

4904 N 42ND St
Omaha, NE 68111-1819

Mailing address

4904 N 42ND St
Omaha, NE 68111-1819
Phone (402) 457-5122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250620001375 NE Practitioner - Mental Health Counselor 9335650894 Reassigns benefits to 1 organization
I20250702000436 IA Practitioner - Clinical Social Worker 9335650894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cord Where Science Meets Connection LLCGroup PAC ID 7810427838, 10 clinicians

Practice addresses (Care Compare)

13304 W Ctr Rd
Suite 126
Omaha, NE 68144-3457
Phone (402) 256-7913

29 S Main St
Council Bluffs, IA 51503-9070
Phone (402) 256-7913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109223IAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cord Where Science Meets Connection LLC CurrentSince Mar 29, 2025 Accepting new patients
Ven Healthcare Council Bluffs LLC CurrentSince Apr 14, 2025 Accepting new patients

Locations

29 S Main St
Council Bluffs, IA 51503
Phone (402) 256-7913

1900 E Military Ave
Ste 212
Fremont, NE 68025
Phone (402) 214-5641

13304 W Center Rd
Ste 126
Omaha, NE 68144
Phone (402) 256-7913

Organizations & group practices 2

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1205303104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 N 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111819",
            "telephone_number": "402-457-5122",
            "fax_number": "402-457-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 N 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111819",
            "telephone_number": "402-457-5122",
            "fax_number": "402-457-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBCZYK",
        "first_name": "LINDSAY",
        "middle_name": "MELISSA",
        "credential": "PCMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NE",
            "license": "7283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.