Active NPI
Larissa Dowe, PLMHP, PCMSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1164875779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6992
- Practice address
- 11550 I St
Omaha, NE 68137-1262 - Phone
- (402) 202-9957
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6992 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 10577 | NE |
Addresses
Primary practice location
11550 I St
Omaha, NE 68137-1262
Mailing address
2314 Pilgrim Dr
Bellevue, NE 68123-3790
Phone (320) 293-3650
Other names 1
- Larissa Peyton
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10577 | NE | MD | Clinical Social Worker |
| 6992 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1164875779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 PILGRIM DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681233790",
"telephone_number": "320-293-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11550 I ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371262",
"telephone_number": "402-202-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWE",
"first_name": "LARISSA",
"credential": "PLMHP, PCMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "6992",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "10577",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARISSA",
"last_name": "PEYTON",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.