Active NPI
Dean Lynn Messelheiser, MSW
- Clinical Social Worker
- Offutt AFB, NE
National Provider Identifier
1811086689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00419
- Practice address
- 901 Sac Blvd Ste 2D7
Offutt AFB, NE 68113-5455 - Phone
- (402) 294-5860
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- 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 | 00419 | IA | Primary |
Addresses
Primary practice location
901 Sac Blvd Ste 2D7
Offutt AFB, NE 68113-5455
Mailing address
3211 Henery Cir
Bellevue, NE 68123-2344
Phone (402) 884-8761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00419 | Other | IA | SOCIAL WORK LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00419 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811086689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 HENERY CIR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681232344",
"telephone_number": "402-884-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SAC BLVD STE 2D7",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "681135455",
"telephone_number": "402-294-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSELHEISER",
"first_name": "DEAN",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "00419",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Offutt AFB, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.