Stephani Lucile Niedfeldt, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4676 Issued in KS

Practice address

304 S Clairborne Rd Ste 201
Olathe, KS 66062-4107

Phone

(608) 561-1754

NPI assigned

Oct 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1317427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1396029997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 KNOX ST",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662033156",
            "telephone_number": "785-410-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S CLAIRBORNE RD STE 201",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660624107",
            "telephone_number": "608-561-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDFELDT",
        "first_name": "STEPHANI",
        "middle_name": "LUCILE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-01",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Natalie Nickell, LPC-T
• Megan Marie Nickell, PMHNP-BC
• Nickie L Gale DDS PA
• Nickie L. Perry, DDS, PA (Cedar Place Dental)
• Kayla Marie Nickl
• Claus M Nielsen, PHARMD
• Virginia Nielsen, MA, LPC
• Nielson Family Dentistry
• Daniel C Nielson, DDS
• Donald Clarence Nielson, D.D.S.

• Clinical Social Worker in Olathe, KS
• Providers in Olathe, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.