Individual provider Active NPI

Lori R. Rodriquez-Fletcher, LICSW

  • Mental Health Counselor
  • Alliance, NE
National Provider Identifier
1033420831
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4093 Issued in NE
Practice address
221 E 3Rd St
Alliance, NE 69301-3825
Phone
(308) 763-9261
Fax
(308) 761-3990
NPI assigned
Jun 25, 2010
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4093 NE Primary
Clinical Social Worker 1041C0700X 1457 NE

Addresses

Primary practice location

221 E 3Rd St
Alliance, NE 69301-3825

Mailing address

PO Box 651
Alliance, NE 69301-0651
Phone (308) 763-9261

Other practice location 1

1814 Broadway
Scottsbluff, NE 69361-2458
Phone (308) 763-9261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000233 NE Practitioner - Clinical Social Worker 0547402711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1457NEMDMental Health Counselor
4093NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriquez-Fletcher Clinical Social Work Services LLC Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Bette J Odell MSW Services LLC Mental Health CurrentSince Nov 10, 2024 Accepting new patients

Locations

221 E 3rd St
Alliance, NE 69301
Phone (308) 760-4741

1814 Broadway
Scottsbluff, NE 69361
Phone (308) 763-9261

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1033420831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693010651",
            "telephone_number": "308-763-9261",
            "fax_number": "308-761-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 3RD ST",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693013825",
            "telephone_number": "308-763-9261",
            "fax_number": "308-761-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Broadway",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693612458",
            "country_code": "US",
            "telephone_number": "308-763-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIQUEZ-FLETCHER",
        "first_name": "LORI",
        "middle_name": "R.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4093",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

Verify at the official NPI Registry.