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NPI Code Detail

MEDICARE: KYLEE STUART CMSW, LMHP

MEDICARE:   KYLEE  STUART  CMSW, LMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker865NE

General Provider Information

NPI Number : 1225133044
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEE STUART CMSW, LMHP
Provider Business Mailing Address
First Line : 3901 FAULKNER DR
Second Line :
City : LINCOLN
State : NE
Zip : 68516-4738
Country : US
Telephone Number : 402-875-9270
Fax Number : 402-875-9272
Provider Business Practice Location Address
First Line : 3901 FAULKNER DR
Second Line :
City : LINCOLN
State : NE
Zip : 68516-4738
Country : US
Telephone Number : 402-875-9270
Fax Number : 402-875-9272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 01/16/2026

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Directions to “ KYLEE STUART CMSW, LMHP” Practice Location

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