Stephanie Kellum, LCSW is a
Social Worker - Clinical based in Omaha, Nebraska. Stephanie Kellum is licensed to practice in Nebraska (license number 2124) and her current practice location is
2604 N 109th Plz Apt 302, Omaha, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(254) 317-3534.
NPI number for Stephanie Kellum is 1790414456 and her current mailing address is 2604 N 109th Plz Apt 302, Omaha, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790414456.
Healthcare Provider's Profile
Full Name | Stephanie Kellum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2604 N 109th Plz Apt 302, Omaha, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790414456
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 06/08/2022
Medical Identifiers
Medical identifiers for Stephanie Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790414456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 5813 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 2124 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Kellum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Kellum, LCSW 2604 N 109th Plz Apt 302, Omaha, NE 68164-3861 Ph: (254) 317-3534 | Stephanie Kellum, LCSW 2604 N 109th Plz Apt 302, Omaha, NE 68164-3861 Ph: (254) 317-3534 |
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