Individual provider Active NPI

Monique Visocky, LMHP, LCSW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1124501341
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004 Issued in NE
Practice address
11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467
Phone
(402) 238-1431
Fax
(402) 281-1462
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5625 NE
School Social Worker 1041S0200X 11589 NE
School Social Worker 1041S0200X 7268 NE
Clinical Social Worker 1041C0700X 2004 NE Primary

Addresses

Primary practice location

11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467

Mailing address

11605 Miracle Hills Dr Ste 300
Omaha, NE 68154-4467
Phone (402) 238-1431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11589NEMDPharmacist
2004NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1124501341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 MIRACLE HILLS DR STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544467",
            "telephone_number": "402-238-1431",
            "fax_number": "402-281-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MIRACLE HILLS DR STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544467",
            "telephone_number": "402-238-1431",
            "fax_number": "402-281-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISOCKY",
        "first_name": "MONIQUE",
        "credential": "LMHP, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5625",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NE",
            "license": "11589",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NE",
            "license": "7268",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.