Individual provider Active NPI

Dylan C Leininger, PLADC

  • Social Worker
  • South Sioux City, NE
National Provider Identifier
1508665506
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P-2294 Issued in NE
Practice address
1201 Arbor Dr
South Sioux City, NE 68776-2421
Phone
(402) 494-3337
NPI assigned
Mar 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P-2294 NE Primary

Addresses

Primary practice location

1201 Arbor Dr
South Sioux City, NE 68776-2421

Mailing address

1201 Arbor Dr
South Sioux City, NE 68776-2421
Phone (712) 301-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P-2294NEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1508665506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ARBOR DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762421",
            "telephone_number": "712-301-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARBOR DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762421",
            "telephone_number": "402-494-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEININGER",
        "first_name": "DYLAN",
        "middle_name": "C",
        "credential": "PLADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "P-2294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.