Active NPI
Shawna Plendl, LCSW, LMHP
- Social Worker
- Bellevue, NE
National Provider Identifier
1972150100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2101
- Practice address
- 605 W 27TH Ave
Bellevue, NE 68005-5319 - Phone
- (402) 293-4585
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2101 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 5773 | NE |
Addresses
Primary practice location
605 W 27TH Ave
Bellevue, NE 68005-5319
Mailing address
605 W 27TH Ave
Bellevue, NE 68005-5319
Phone (402) 293-4585
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 |
|---|---|---|---|
| 2101 | NE | MD | Counselor |
| 5773 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1972150100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W 27TH AVE",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680055319",
"telephone_number": "402-293-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W 27TH AVE",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680055319",
"telephone_number": "402-293-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLENDL",
"first_name": "SHAWNA",
"credential": "LCSW, LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "2101",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "5773",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.