Individual provider Active NPI

Lindsay Grace Stayton, LICSW

  • Clinical Social Worker
  • Bellevue, NE
National Provider Identifier
1740596576
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1559 Issued in NE
Practice address
3308 Samson Way
Bellevue, NE 68123-3234
Phone
(402) 717-7681
Fax
(402) 291-8806
NPI assigned
Aug 31, 2010
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1559 NE Primary

Addresses

Primary practice location

3308 Samson Way
Bellevue, NE 68123-3234

Mailing address

101 Enterprise Dr
Gretna, NE 68028-7943
Phone (402) 207-6533

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1559NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Counseling and Consulting, LLC Clinical Current Accepting new patients

Locations

101 Enterprise Dr
Gretna, NE 68028
Phone (402) 207-6533

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.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1740596576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ENTERPRISE DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287943",
            "telephone_number": "402-207-6533",
            "fax_number": "402-614-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 SAMSON WAY",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681233234",
            "telephone_number": "402-717-7681",
            "fax_number": "402-291-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYTON",
        "first_name": "LINDSAY",
        "middle_name": "GRACE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.