Nicolette Lee Machado, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1462 Issued in NE

Practice address

5600 S 59TH St
Suite 104
Lincoln, NE 68516-2386

Phone

(814) 215-9590

NPI assigned

May 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Nicolette Lee Shaffer Former name

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Psychological Services PCGroup PAC ID 2365719598, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Harbor - a Counseling Center, LLC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1669335030
  Medicare reassignment NPD Authorized official
• Trinity Psychological Services PC

  • Clinical Psychologist
  • Lincoln, NE
  • NPI 1598291759
  Medicare reassignment Care Compare group NPD
• Sacred Ground Psychotherapy LLC

  • Psychologist
  • Lincoln, NE
  • NPI 1205493202
  NPD

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1508091646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S 59TH ST",
            "address_2": "SUITE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162386",
            "telephone_number": "814-215-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S 59TH ST",
            "address_2": "SUITE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162386",
            "telephone_number": "814-215-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "NICOLETTE",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127142",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017288",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4099",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "SHAFFER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel A Macgregor
• Christina Mach, LPN
• Michelle Renee Mach
• Ericka Machacek-Koch
• Gustavo Rozindo Machado, MD
• Sandra Gordin Alberto Machado, MD
• Johann Ruth Machmer, B.S.
• Bobbi Sue Ann Mack-Drake
• Alexis Mack
• Huong X Mack, APRN

• Social Worker in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.