Wolf Chalenburg LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WOLF CHALENBURG LLC

Doing business as

Sycamore & Sage

Practice address

1620 S 70TH St Ste 105
Lincoln, NE 68506-1563

Phone

(531) 333-1149

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Chalenburg, LIMHP, LADCNPI 1386182160

Title

Owner

Phone

(531) 333-1149

Specialties & licenses 1

Addresses

Other names 1

• Sycamore & Sage Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Chalenburg, PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, NE
  • NPI 1386182160
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1871267039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CHESHIRE N",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S 70TH ST STE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061563",
            "telephone_number": "531-333-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF CHALENBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "CHALENBURG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "531-333-1149",
        "authorized_official_credential": "LIMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore & Sage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Woita
• Ralph Woita
• Michael Woitaszewski
• George J Wolcott, M.D.
• Bridget Wold
• Katelyn Wolf
• Kayleigh Wolf, LIMHP
• Maggie Wolf
• Nathan Wolf
• Phyllis Wolf

• Adult Mental Health Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Adult Mental Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.