Individual provider Active NPI

Lynette A Klug, LICSW

  • Clinical Social Worker
  • Columbus, NE
National Provider Identifier
1457928632
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4214 38TH St
Columbus, NE 68601-1616
Phone
(402) 564-1338
Fax
(402) 564-8902
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 12598 NE
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4214 38TH St
Columbus, NE 68601-1616

Mailing address

4214 38TH St
Columbus, NE 68601-1616
Phone (402) 564-1338

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
I20231031001284 NE Practitioner - Clinical Social Worker 0345696126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Family Practice Associates, P.C.Group PAC ID 9234239922, 17 clinicians

Practice addresses (Care Compare)

4214 38TH St
Columbus, NE 68601-1616
Phone (402) 564-1338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12598NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Family Practice Associates, P.C. CurrentSince Oct 12, 2023 Accepting new patients

Locations

4214 38th St
Columbus, NE 68601
Phone (402) 564-1338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1457928632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011616",
            "telephone_number": "402-564-1338",
            "fax_number": "402-564-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011616",
            "telephone_number": "402-564-1338",
            "fax_number": "402-564-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUG",
        "first_name": "LYNETTE",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12598",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.