Organization Active NPI

Kendra McCallie Limhp, LLC

  • Clinical Social Worker
  • Papillion, NE
National Provider Identifier
1366690596
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1079 Issued in NE
Legal business name
KENDRA MCCALLIE LIMHP, LLC
Practice address
535 Fortune Dr.
Ste 130
Papillion, NE 68046
Phone
(402) 689-6135
Fax
(402) 916-9757
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Ms. Kendra McCallie, LIMHP, CMSW
Title
Owner/President
Phone
(402) 689-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1079 NE Primary

Addresses

Primary practice location

535 Fortune Dr.
Ste 130
Papillion, NE 68046

Mailing address

535 Fortune Dr
Suite 130
Papillion, NE 68046-3428
Phone (402) 689-6135

National Provider Directory

National Provider Directory

Locations

535 Fortune Dr
Ste 130
Papillion, NE 68046
Phone (402) 689-6135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1366690596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR",
            "address_2": "SUITE 130",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463428",
            "telephone_number": "402-689-6135",
            "fax_number": "402-916-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR.",
            "address_2": "STE 130",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68046",
            "telephone_number": "402-689-6135",
            "fax_number": "402-916-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA MCCALLIE LIMHP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "MCCALLIE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-689-6135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LIMHP, CMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.