Carrie Ann Pedersen, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4666 Issued in NE

Practice address

10806 Prairie Hills Dr
Omaha, NE 68144-4830

Phone

(402) 201-5068

Fax

(402) 502-2525

NPI assigned

Dec 27, 2016

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1275078362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 PRAIRIE HILLS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444830",
            "telephone_number": "402-201-5068",
            "fax_number": "402-502-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 PRAIRIE HILLS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444830",
            "telephone_number": "402-201-5068",
            "fax_number": "402-502-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "4666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Peckham
• Wendy L Pecoraro, APRN
• Brittany Sue Peden
• Amy Pedersen
• Brandon Pedersen
• Erik Andrew Pedersen, MD
• Jody A Pedersen, APRN
• Katherine Elaine Pedersen
• Kelli Lynee Pedersen
• Kristopher Arnold Pedersen, BSN

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.