MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) – Clinical Social Worker, NPI 1073748133

MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) is a healthcare provider. based in Omaha, Nebraska. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW LIMHP LMSW. They hold a License No. 2757 (NE). The NPI Number for MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) is 1073748133

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MS. REGINA L MENDENHALL (LICSW LIMHP LMSW)
NPI
1073748133
Phone
(402) 926-4444
Address
13961 POLK ST
Enumeration Date
19 May 2009
Last Update Date
14 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4029910611
Graduation Year
1990 (36 years ago)
PAC ID
7416381181
Group Practice PAC ID
6204976525
Professional Enrollment ID
I20200106001831
Address ID
NE681373542OM12035STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:17State licenses:4Digital endpointsOther names

315 CLINICAL SOCIAL WORKER in NE

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Provider Addresses for MS. REGINA L MENDENHALL (LICSW LIMHP LMSW)

  • 13961, Polk Street, Millard, Omaha, Douglas County, Nebraska, 68137, United States

    OMAHA, NE 681374049

    Phone: (402) 926-4444

    Fax: (402) 393-8230

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200106001831IClinical Social WorkerNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour57239$0
90791Psychiatric diagnostic evaluation2424$0
View full utilization report →

Insurance plans in this area (ZIP 68137)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204976525View full group profile
NameSpecialtyState
Mental Health CounselorNE
Mental Health CounselorNE
Marriage And Family TherapistNE
Nurse PractitionerNE
Mental Health CounselorNE
Mental Health CounselorNE
-KS
Clinical PsychologistNE
Mental Health CounselorNE
Mental Health CounselorNE

Reviews

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Frequently asked questions

Can I use this page to confirm MS. REGINA L MENDENHALL (LICSW LIMHP LMSW)'s NPI?
Yes. MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) is listed with NPI 1073748133 in the public NPI dataset.
Does the file indicate MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) is practicing under active NPI?
Directory data currently reports MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) as active.
What taxonomy line describes MS. REGINA L MENDENHALL (LICSW LIMHP LMSW)?
For research purposes, treat MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) list a practice location?
Patients near Omaha, Nebraska may find MS. REGINA L MENDENHALL (LICSW LIMHP LMSW) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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