Organization Active NPI

Lisa Harmon, LCSW, Inc

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1003840281
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1618 Issued in NE
Legal business name
LISA HARMON, LCSW, INC
Practice address
4830 S 69TH St
Lincoln, NE 68516-1501
Phone
(402) 327-9751
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Harmon, LCSWNPI 1477598720
Title
President
Phone
(402) 327-9751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1618 NE Primary

Addresses

Primary practice location

4830 S 69TH St
Lincoln, NE 68516-1501

Mailing address

4830 S 69TH St
Lincoln, NE 68516-1501
Phone (402) 327-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060810000309 NE Part B Supplier - Clinic/Group Practice 5890798912 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

5561 S 48th St
Ste 232C
Lincoln, NE 68516
Phone (402) 327-9751

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1003840281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 S 69TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161501",
            "telephone_number": "402-327-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 S 69TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161501",
            "telephone_number": "402-327-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA HARMON, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-327-9751",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.