Individual provider Active NPI

Lindsay Kramer, LICSW, MS

  • Clinical Social Worker
  • Elkhorn, NE
National Provider Identifier
1104090240
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
862 Issued in NE
Practice address
3401 N 191St Ave
Elkhorn, NE 68022-3350
Phone
(402) 909-2787
Fax
(402) 238-1859
NPI assigned
Apr 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150010714 IL
School Social Worker 1041S0200X 2241654 IL
Clinical Social Worker 1041C0700X 862 NE Primary

Addresses

Primary practice location

3401 N 191St Ave
Elkhorn, NE 68022-3350

Mailing address

3401 N 191St Ave
Elkhorn, NE 68022-3350
Phone (402) 699-9911

Other practice location 1

1627 E Military Ave
Ste 200
Fremont, NE 68025-5490
Phone (402) 909-2787

Other identifiers 1

IdentifierTypeStateIssuer
10025961100MedicaidNE

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
I20111005000288 NE Practitioner - Clinical Social Worker 8426220914 Practice locations: Elkhorn, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3401 N 191St Ave
Elkhorn, NE 68022-3350
Phone (402) 909-2787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
150010714ILMDSocial Worker
862NEMDClinical Social Worker
2241654ILMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LMK Therapy LLC Clinical Current Accepting new patients

Locations

3401 N 191st Ave
Elkhorn, NE 68022
Phone (402) 909-2787

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1104090240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N 191ST AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223350",
            "telephone_number": "402-699-9911",
            "fax_number": "402-238-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N 191ST AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223350",
            "telephone_number": "402-909-2787",
            "fax_number": "402-238-1859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 E MILITARY AVE",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255490",
            "country_code": "US",
            "telephone_number": "402-909-2787",
            "fax_number": "402-238-1859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "LINDSAY",
        "credential": "LICSW, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-19",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150010714",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2241654",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025961100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.