Individual provider Active NPI

Kathy I Mohlfeld, LCSW, EDD

  • Clinical Social Worker
  • Wayne, NE
National Provider Identifier
1326504267
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
893 Issued in NE
Practice address
1200 Providence Rd
Wayne, NE 68787-1299
Phone
(402) 375-3800
Fax
(402) 375-7988
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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 1881 NE
Clinical Social Worker 1041C0700X 893 NE Primary

Addresses

Primary practice location

1200 Providence Rd
Wayne, NE 68787-1299

Mailing address

1200 Providence Rd
Wayne, NE 68787-1299
Phone (402) 375-3800

Other names 1

  • Dr. Kathy I. Mohlfeld Professional name

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
I20190401001761 NE Practitioner - Clinical Social Worker 0042551095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
893NEMDAddiction (Substance Use Disorder) Counselor
1881NEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Center Current Accepting new patients
Pender Community Hospital District CurrentSince Oct 22, 2023 Accepting new patients
Pender Community Hospital District CurrentSince Dec 28, 2025 Accepting new patients
Pender Community Hospital District CurrentSince Oct 22, 2023 Accepting new patients

Locations

100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1326504267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PROVIDENCE RD",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871299",
            "telephone_number": "402-375-3800",
            "fax_number": "402-375-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PROVIDENCE RD",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871299",
            "telephone_number": "402-375-3800",
            "fax_number": "402-375-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHLFELD",
        "first_name": "KATHY",
        "middle_name": "I",
        "credential": "LCSW, EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1881",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "MOHLFELD",
            "middle_name": "I.",
            "prefix": "DR.",
            "credential": "LCSW, EDD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wayne, NE

Sources for this page

Verify at the official NPI Registry.