Active NPI
Aimee Lou Nienstedt Dickson, LCSW, LCSW, PMH-C
- Clinical Social Worker
- Jefferson City, MO
National Provider Identifier
1679099618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2017030079
- Practice address
- 1511 Christy Dr
Jefferson City, MO 65101-2854 - Phone
- (573) 632-2777
- NPI assigned
- Aug 22, 2017
- Last updated
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2017030079 | MO | Primary |
Addresses
Primary practice location
1511 Christy Dr
Jefferson City, MO 65101-2854
Mailing address
3208 Sage Grass CT
Columbia, MO 65202-5624
Phone (816) 853-7857
Other practice location 1
1000 Lincoln St
Emporia, KS 66801-2449
Phone (620) 343-2211
Other names 1
- Mrs. Aimee Nienstedt
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Missouri, Kansas City, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Lincoln St
Emporia, KS 66801-2449
Phone (620) 343-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017030079 | MO | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CrossWinds Counseling and Wellness
- Community/Behavioral Health Agency
- Emporia, KS
- NPI 1740365758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1679099618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 SAGE GRASS CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652025624",
"telephone_number": "816-853-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 CHRISTY DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651012854",
"telephone_number": "573-632-2777"
}
],
"practiceLocations": [
{
"address_1": "1000 Lincoln St",
"address_purpose": "LOCATION",
"city": "Emporia",
"state": "KS",
"postal_code": "668012449",
"country_code": "US",
"telephone_number": "620-343-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIENSTEDT DICKSON",
"first_name": "AIMEE",
"middle_name": "LOU",
"credential": "LCSW, LCSW, PMH-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2017030079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "NIENSTEDT",
"prefix": "MRS.",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.