Individual provider Active NPI

Noelle C Phillips, LICSW, LIMHP

  • Clinical Social Worker
  • Elkhorn, NE
National Provider Identifier
1972673119
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2115 Issued in NE
Practice address
20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552
Phone
(402) 933-5700
Fax
(402) 933-9998
NPI assigned
Nov 8, 2006
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 2115 NE Primary
Social Worker 104100000X 1856 SD

Addresses

Primary practice location

20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552

Mailing address

20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552
Phone (402) 933-5700

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
I20190821003241 NE Practitioner - Clinical Social Worker 5991893398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Psychiatry LLCGroup PAC ID 8325478126, 4 clinicians

Practice addresses (Care Compare)

20324 Veterans Dr
Suite 104
Elkhorn, NE 68022-3552
Phone (402) 933-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2115NEMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychiatry, LLC CurrentSince Nov 1, 2023 Accepting new patients
Alegent Health Immanuel Medical Center PastSince Aug 1, 2019 Accepting new patients

Locations

20324 Veterans Dr
Ste 104
Elkhorn, NE 68022
Phone (402) 933-5700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1972673119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20324 VETERANS DR STE 104",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223552",
            "telephone_number": "402-933-5700",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20324 VETERANS DR STE 104",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223552",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NOELLE",
        "middle_name": "C",
        "credential": "LICSW, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2115",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "1856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.