Individual provider Active NPI

Stephanie Rachelle Engelbart, LICSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1265615777
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1471 Issued in NE
Practice address
1919 S 40TH St Ste 211
Lincoln, NE 68506-5212
Phone
(402) 730-3991
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 1471 NE Primary

Addresses

Primary practice location

1919 S 40TH St Ste 211
Lincoln, NE 68506-5212

Mailing address

1919 S 40TH St Ste 211
Lincoln, NE 68506-5212
Phone (402) 730-3991

Other identifiers 1

IdentifierTypeStateIssuer
10025273100MedicaidNE

Other names 1

  • Stephanie Rachelle Hickey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1471NEMDOccupational Therapist
1262NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeannie L.B. Schlotfeld LCSW LLC Clinical Past Accepting new patients
Teri a Langan Dee PC Past Accepting new patients

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1265615777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 211",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065212",
            "telephone_number": "402-730-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 211",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065212",
            "telephone_number": "402-730-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBART",
        "first_name": "STEPHANIE",
        "middle_name": "RACHELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025273100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HICKEY",
            "middle_name": "RACHELLE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.