Active NPI
Lynn Patricia Anderson Demott, LCSW
- Social Worker
- Omaha, NE
National Provider Identifier
1164487195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44
- Practice address
- 12728 Augusta Avenue
Suite 150
Omaha, NE 68144-3750 - Phone
- (402) 330-1537
- Fax
- (402) 330-9331
- NPI assigned
- Apr 20, 2006
- Last updated
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44 | NE | Primary |
Addresses
Primary practice location
12728 Augusta Avenue
Suite 150
Omaha, NE 68144-3750
Mailing address
12728 Augusta Ave Ste 150
Omaha, NE 68144-3753
Phone (402) 330-1537
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041105000849 | NE | Practitioner - Clinical Social Worker | 1254393606 | Practice locations: Omaha, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12728 Augusta Ave
Suite 150
Omaha, NE 68144-3750
Phone 402330153714
12728 Augusta Ave
Suite 150
Omaha, NE 68144-3753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1164487195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVE STE 150",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443753",
"telephone_number": "402-330-1537",
"fax_number": "402-330-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVENUE",
"address_2": "SUITE 150",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443750",
"telephone_number": "402-330-1537",
"fax_number": "402-330-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON DEMOTT",
"first_name": "LYNN",
"middle_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "44",
"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 Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.