Individual provider Active NPI

Trisha Anderson, L.I.S.W., I.A.D.C.

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1013287259
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1786 Issued in NE
Practice address
11640 Arbor St Ste 101
Omaha, NE 68144-5007
Phone
(402) 651-5621
Fax
(531) 999-4945
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008258 IA
Addiction (Substance Use Disorder) Counselor 101YA0400X 11143 IA
Mental Health Counselor 101YM0800X 2055 NE
Clinical Social Worker 1041C0700X 1786 NE Primary

Addresses

Primary practice location

11640 Arbor St Ste 101
Omaha, NE 68144-5007

Mailing address

11640 Arbor St Ste 101
Omaha, NE 68144-5007
Phone (402) 651-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140203000076 IA Practitioner - Clinical Social Worker 3577792035 Reassigns benefits to 1 organization
I20181205002034 NE Practitioner - Clinical Social Worker 3577792035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11640 Arbor St
Suite 101
Omaha, NE 68144-5007
Phone (402) 651-5621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11143IAMDAddiction (Substance Use Disorder) Counselor
008258IAMDClinical Social Worker
2055NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trisha Anderson, P.C. Mental Health CurrentSince Mar 8, 2021 Accepting new patients
Therapy Resource Associates, Inc. Mental Health CurrentSince Dec 1, 2018 Accepting new patients

Locations

11640 Arbor St
Ste 101
Omaha, NE 68144
Phone (402) 651-5621

10824 Old Mill Rd
Ste 21
Omaha, NE 68154
Phone (402) 330-6060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1013287259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-651-5621",
            "fax_number": "531-999-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-651-5621",
            "fax_number": "531-999-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TRISHA",
        "credential": "L.I.S.W., I.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008258",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "11143",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2055",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.