Individual provider Active NPI

Rhonda Rene Connett, LCSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1689755316
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1911 / 905 Issued in NE
Practice address
1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474
Phone
(402) 420-1617
Fax
(402) 420-1619
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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 1911 / 905 NE Primary
Clinical Social Worker 1041C0700X 716 NE

Addresses

Primary practice location

1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474

Mailing address

1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474
Phone (402) 420-1617

Other identifiers 2

IdentifierTypeStateIssuer
299121000OtherNEMAGELLAN MIS
100254261000MedicaidNE

Other names 1

  • Miss Rhonda Rene Wright Former name

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
I20061227000374 NE Practitioner - Clinical Social Worker 3678573508 Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1617 Normandy Court
Suite 100
Lincoln, NE 68512-1474

1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474
Phone (402) 420-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
905NEMDAddiction (Substance Use Disorder) Counselor
1911 / 905NEMDClinical Social Worker
716NEMDAthletic Trainer
1911NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rod W. Kohl, P.C. Past Accepting new patients
First Step Recovery Center Inc. PastSince Oct 1, 1999 Accepting new patients
Russ Hansen MSPC Past Accepting new patients

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1689755316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 NORMANDY CT",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121474",
            "telephone_number": "402-420-1617",
            "fax_number": "402-420-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 NORMANDY CT",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121474",
            "telephone_number": "402-420-1617",
            "fax_number": "402-420-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNETT",
        "first_name": "RHONDA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1911 / 905",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS",
            "identifier": "299121000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254261000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "WRIGHT",
            "middle_name": "RENE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.