Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jody L Detwieler, LIMHP, LCSW

Individual provider Mental Health Counselor · NPI 1962622746

Jody L Detwieler, LIMHP, LCSW is a Clinical Social Worker in Grand Island, Nebraska. Qualified in 2005, 21 years ago. Practices with Wholeness Healing Center PC, a 13-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2608 Old Fair Rd
Grand Island, NE 68803-5271
Phone: (308) 382-5297
Fax: (308) 382-5315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence 2006022486 (MO)

Record details

NPI number1962622746
Entity typeIndividual (Type 1)
GenderFemale
Credentials LIMHP , LCSW
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Wholeness Healing Center Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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