Active NPI
Angela Halstead
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1861175705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1372
- Practice address
- 1941 S 42ND St Ste 328
Omaha, NE 68105-2943 - Phone
- (402) 614-8444
- Fax
- (402) 614-8443
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 687 | NE | MD | Clinical Psychologist |
| 1372 | NE | MD | Occupational Therapist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 687 | NE | |
| Clinical Social Worker | 1041C0700X | 1372 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1941 S 42ND St Ste 328
Omaha, NE 68105-2943
Mailing address
15114 Redman Ave
Omaha, NE 68116-8424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2023.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1861175705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15114 REDMAN AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 S 42ND ST STE 328",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052943",
"telephone_number": "402-614-8444",
"fax_number": "402-614-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSTEAD",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "687",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.