Individual provider Active NPI

Jamie Rose Liebentritt, MSW, LICSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1093316556
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50082301 Issued in DC
Practice address
2300 S 16TH St Ste 201
Lincoln, NE 68502-3704
Phone
(402) 481-5991
NPI assigned
Nov 2, 2020
Last updated
Sep 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X LC50082301 DC Primary

Addresses

Primary practice location

2300 S 16TH St Ste 201
Lincoln, NE 68502-3704

Mailing address

610 J St Ste 210
Lincoln, NE 68508-2967
Phone (708) 732-2387

Other practice location 1

610 J St Ste 210
Lincoln, NE 68508-2967
Phone (402) 413-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50082301DCMDClinical Social Worker
1976NEMDChiropractor
2555NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Counseling, LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

610 J St
Ste 210
Lincoln, NE 68508
Phone (402) 277-8554

Organizations & group practices 1

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1093316556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 J ST STE 210",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082967",
            "telephone_number": "708-732-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-481-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 J St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685082967",
            "country_code": "US",
            "telephone_number": "402-413-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBENTRITT",
        "first_name": "JAMIE",
        "middle_name": "ROSE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.