Individual provider Active NPI

Terry Ellen Stewart-Deseck, LIMHP, LCSW

  • Clinical Social Worker
  • Bellevue, NE
National Provider Identifier
1851350904
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1377 Issued in NE
Practice address
201 Galvin Rd N
Bellevue, NE 68005-4852
Phone
(402) 779-1316
NPI assigned
Mar 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 777 NE
Social Worker 104100000X 1377 NE
Clinical Social Worker 1041C0700X 1377 NE Primary

Addresses

Primary practice location

201 Galvin Rd N
Bellevue, NE 68005-4852

Mailing address

7516 S 30TH St
Bellevue, NE 68147-1312
Phone (785) 233-7962

Other names 1

  • Mrs. Terry Ellen Stewart Professional 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
I20150128000790 NE Practitioner - Clinical Social Worker 6608819941 Practice locations: Bellevue, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Galvin Rd N
Bellevue, NE 68005-4852
Phone (402) 779-1316

7516 S 30TH St
Bellevue, NE 68147-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1377NEMDAddiction (Substance Use Disorder) Counselor
2105KSMDProfessional Counselor
777NEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1851350904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 S 30TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471312",
            "telephone_number": "785-233-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GALVIN RD N",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054852",
            "telephone_number": "402-779-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-DESECK",
        "first_name": "TERRY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LIMHP, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "777",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1377",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "STEWART",
            "middle_name": "ELLEN",
            "prefix": "MRS.",
            "credential": "LSCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.