Individual provider Active NPI

Brooke Ann Webster, LICSW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1114612520
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3861 Issued in NE
Practice address
8031 W Center Rd Ste 307
Omaha, NE 68124-3134
Phone
(402) 915-3782
Fax
(531) 800-5210
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 127283 IA
Clinical Social Worker 1041C0700X 3861 NE Primary

Addresses

Primary practice location

8031 W Center Rd Ste 307
Omaha, NE 68124-3134

Mailing address

8031 W Center Rd Ste 307
Omaha, NE 68124-3134
Phone (402) 915-3782

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
I20240503001158 NE Practitioner - Clinical Social Worker 6103266499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8031 W Ctr Rd
Suite 307
Omaha, NE 68124-3134
Phone (402) 915-3782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3861NEMDMental Health Counselor
127283IAMDClinical Social Worker
6025NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Counseling LLC Clinical CurrentSince Mar 3, 2024 Accepting new patients

Locations

8031 W Center Rd
Ste 307
Omaha, NE 68124
Phone (402) 312-4179

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1114612520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD STE 307",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243134",
            "telephone_number": "402-915-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD STE 307",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243134",
            "telephone_number": "402-915-3782",
            "fax_number": "531-800-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "127283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "3861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.