Individual provider Active NPI

Breanne Gilchrist, LCSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1932610524
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7402 Issued in AR
Practice address
2900 S 70TH St Ste 160
Lincoln, NE 68506-3733
Phone
(479) 657-8100
Fax
(402) 625-0915
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7402 AR Primary
Mental Health Counselor 101YM0800X 3088 NE

Addresses

Primary practice location

2900 S 70TH St Ste 160
Lincoln, NE 68506-3733

Mailing address

4325 Cripple Creek Rd
Lincoln, NE 68516-2970
Phone (479) 657-8100

Other practice location 1

809 SE 28th St Ste 1
Bentonville, AR 72712-4268
Phone (479) 657-8100

Other identifiers 1

IdentifierTypeStateIssuer
229599719MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20230426002259 AR Practitioner - Clinical Social Worker 1658742572 Practice locations: Bentonville, AR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7402ARMDClinical Social Worker
3088NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1932610524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 CRIPPLE CREEK RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162970",
            "telephone_number": "479-657-8100",
            "fax_number": "402-625-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 70TH ST STE 160",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063733",
            "telephone_number": "479-657-8100",
            "fax_number": "402-625-0915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 SE 28th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124268",
            "country_code": "US",
            "telephone_number": "479-657-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "BREANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7402",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229599719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.