Katherine Nicolarsen, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KATHERINE NICOLARSEN, LLC

Practice address

11840 Nicholas St Ste 205
Omaha, NE 68154-4475

Phone

(402) 215-9220

NPI assigned

Sep 12, 2024

Last updated

Sep 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Nicolarsen, LIMHP, LCSW, LADCNPI 1508858648

Title

Clinical Social Worker

Phone

(402) 215-9220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Ann Nicolarsen, LCSW LMHP

  • Social Worker
  • Papillion, NE
  • NPI 1508858648
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1093541203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 NICHOLAS ST STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544475",
            "telephone_number": "402-215-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 NICHOLAS ST STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544475",
            "telephone_number": "402-215-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE NICOLARSEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "NICOLARSEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "402-215-9220",
        "authorized_official_credential": "LIMHP, LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kalyn Kathol
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• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.