Individual provider Active NPI

Rosalind M Sheldon, CSW, LMHP

  • Clinical Social Worker
  • Kearney, NE
National Provider Identifier
1225286420
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1287 Issued in NE
Practice address
3710 Central Ave Ste 9
Kearney, NE 68847-8126
Phone
(308) 251-2222
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 3407 NE
Clinical Social Worker 1041C0700X 1287 NE Primary

Addresses

Primary practice location

3710 Central Ave Ste 9
Kearney, NE 68847-8126

Mailing address

3720 Avenue a
Suite E
Kearney, NE 68847-8169
Phone (308) 234-5644

Other practice location 1

3720 Ave. A
Suite E
Kearney, NE 68847
Phone (308) 234-5644

Other identifiers 1

IdentifierTypeStateIssuer
47080829226MedicaidNE

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
I20081205000805 NE Practitioner - Clinical Social Worker 9335200542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 W 42ND St
Kearney, NE 68845-2401
Phone (308) 251-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3407NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roz Sheldon Counseling LLC Clinical CurrentSince Dec 1, 2019 Accepting new patients
Elevate Counseling and Consulting, LLC Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

412 W 42nd St
Kearney, NE 68845
Phone (308) 251-2222

3710 Central Ave
Ste 9
Kearney, NE 68847
Phone (308) 251-2222

5308 Parklane Dr
Ste 5
Kearney, NE 68847
Phone (308) 251-2222

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1225286420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 AVENUE A",
            "address_2": "SUITE E",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478169",
            "telephone_number": "308-234-5644",
            "fax_number": "308-234-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CENTRAL AVE STE 9",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478126",
            "telephone_number": "308-251-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Ave. A",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "68847",
            "country_code": "US",
            "telephone_number": "308-234-5644",
            "fax_number": "308-234-5652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "ROSALIND",
        "middle_name": "M",
        "credential": "CSW, LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080829226",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.