Individual provider Active NPI

Danielle Stallworth, CPSS

  • Case Manager/Care Coordinator
  • Lincoln, NE
National Provider Identifier
1285340497
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CPSS-182 Issued in NE
Practice address
2301 O St
Ste 1
Lincoln, NE 68510-1124
Phone
(402) 441-7940
Fax
(402) 441-8625
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CPSS-182 NE
Case Manager/Care Coordinator 171M00000X CPSS-182 NE Primary

Addresses

Primary practice location

2301 O St
Ste 1
Lincoln, NE 68510-1124

Mailing address

120 S 24TH St
Ste 230
Omaha, NE 68102-1226
Phone (877) 518-1070

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPSS-182NEMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc CurrentSince Feb 8, 2023 Accepting new patients
Lutheran Family Services of NE, Inc PastSince Feb 8, 2023 Accepting new patients

Locations

2301 O St
Ste 1
Lincoln, NE 68510

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1285340497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 24TH ST",
            "address_2": "STE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021226",
            "telephone_number": "877-518-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 O ST",
            "address_2": "STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101124",
            "telephone_number": "402-441-7940",
            "fax_number": "402-441-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "DANIELLE",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NE",
            "license": "CPSS-182",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NE",
            "license": "CPSS-182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.