MS. SANDRA JO BREACH (NPI# 1801243282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801243282 |
| Entity Type | Individual |
| Full Name | MS. SANDRA JO BREACH |
| Other Name | MRS. SANDRA JO SHYBUT |
| Credential | MSW |
| Practice Address |
108 East 2nd Street North Platte NE 69101-0000 |
| Mailing Address |
2611 Anna Ave North Platte NE 69101-4495 |
| Practice Telephone | 3085349271 |
| Mailing Telephone | 3085305921 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1685 | NE | Behavioral Health & Social Service Providers |
| Street Address |
108 EAST 2ND STREET |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124171095 | Julieanne Mcchesney | Counselor | 108 East 2nd Street, North Platte, NE 69101 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972641611 | Nanette M. Hynes | Social Worker | 108 E 2nd St, North Platte, NE 69101-5430 | 2007-02-02 |
| 1316955933 | Turning Point Family Services, Inc. | Social Worker | 620 S Jeffers St, North Platte, NE 69101-5351 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316556 | Jamie Rose Liebentritt | Social Worker | 2300 S 16th St Ste 201, Lincoln, NE 68502-3704 | 2020-11-02 |
| 1306461116 | Laura Niehaus | Social Worker | 8869 N 83rd Ave, Omaha, NE 68122-2261 | 2020-06-08 |
| 1861026932 | Juana Lourdes Rangel | Social Worker | 2566 Saint Marys Ave, Omaha, NE 68105-1655 | 2020-02-27 |
| 1639719313 | Jessica E Moser | Social Worker | 700 Penrose Dr, Lincoln, NE 68521-8928 | 2020-01-10 |
| 1891341780 | Amie Houser | Social Worker | 11932 Arbor St Ste 104, Omaha, NE 68144-2986 | 2019-08-15 |
| 1811550403 | Whole Life Counseling & Consulting, Inc. | Social Worker | 5819 S 160th St, Omaha, NE 68135 | 2019-04-18 |
| 1992262620 | Tanya Ann Keith | Social Worker | 809 N 17th Ave, Ashland, NE 68003-1255 | 2019-02-28 |
| 1215494943 | Rachel Beranek | Social Worker | 3606 N 156th St Ste 101-299, Omaha, NE 68116-2158 | 2019-02-28 |
| 1184195760 | Emilee L. O'brien Licsw LLC | Social Worker | 1320 G St, Geneva, NE 68361-2104 | 2018-12-07 |
| 1306311584 | Jodi Molnar | Social Worker | 2225 Jefferson St, Bellevue, NE 68005-5241 | 2018-10-03 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.