Individual provider Active NPI

Derek Royce Schweitzer, LCSW, LIMHP

  • Clinical Social Worker
  • Kearney, NE
National Provider Identifier
1528469657
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10345 Issued in NE
Practice address
5308 Parklane Dr Ste 5
Kearney, NE 68847-8629
Phone
(308) 251-2222
Fax
(308) 251-2232
NPI assigned
Sep 8, 2014
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10345 NE Primary
Social Worker 104100000X 6944 NE

Addresses

Primary practice location

5308 Parklane Dr Ste 5
Kearney, NE 68847-8629

Mailing address

3720 A Ave
Suite E
Kearney, NE 68847-8169
Phone (308) 234-5644

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
I20171110001360 NE Practitioner - Clinical Social Worker 9234495011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 W 42ND St
Kearney, NE 68845-2401
Phone (308) 251-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6944NEMDSocial Worker
1727NEMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Derek Schweitzer Counseling, LLC Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

412 W 42nd St
Kearney, NE 68845
Phone (308) 251-2222

5308 Parklane Dr
Ste 5
Kearney, NE 68847
Phone (308) 251-2222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1528469657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 A AVE",
            "address_2": "SUITE E",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478169",
            "telephone_number": "308-234-5644",
            "fax_number": "308-234-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 PARKLANE DR STE 5",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478629",
            "telephone_number": "308-251-2222",
            "fax_number": "308-251-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEITZER",
        "first_name": "DEREK",
        "middle_name": "ROYCE",
        "name_prefix": "Mr.",
        "credential": "LCSW, LIMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "10345",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "6944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.