Gwendolyn Maria Porter, LIMHP, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4112 Issued in NE

Practice address

923 Senior Circle
Macy, NE 68039-4018

Phone

(402) 837-5381

Fax

(402) 837-5303

NPI assigned

Aug 31, 2016

Last updated

May 16, 2025By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omaha Tribe of NebraskaGroup PAC ID 7315467560, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omaha Tribe of Nebraska

  dba Carl T Curtis Health Ed Center Dental

  • Dental Clinic/Center
  • Macy, NE
  • NPI 1871977918

  TX

  Medicare reassignment Care Compare group NPD
• Omaha Tribe of Nebraska

  dba Carl T Curtis Health Ed Ctr Satellite Clinic

  • Clinic/Center
  • Walthill, NE
  • NPI 1639848633
  NPD
• Winnebago Tribe of Nebraska

  dba Ycic

  • Community/Behavioral Health Agency
  • Winnebago, NE
  • NPI 1558717074
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1326594136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "MACY",
            "state": "NE",
            "postal_code": "680390250",
            "telephone_number": "402-837-5381",
            "fax_number": "402-837-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 SENIOR CIRCLE",
            "city": "MACY",
            "state": "NE",
            "postal_code": "680394018",
            "telephone_number": "402-837-5381",
            "fax_number": "402-837-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "GWENDOLYN",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "6316",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2520",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "4112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029327901",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omaha Tribe of Nebraska (Carl T Curtis Health Ed Center Ambulance)
• Omaha Tribe of Nebraska (Carl T Curtis Health Ed Center Dental)
• Lorraine Donella Overgaard, RN
• Deanna Parker Galvin, PLMHP, PCMSW
• Elizabeth Marie Porter, PHARM.D.
• Carolyn Seymour
• Isaac Sherman Jr., EMT
• Cassidy Simons, DPT
• Michele Marie Smith, R.N.
• Thomas Edward Snowball Sr., EMT-BASIC

• Clinical Social Worker in Macy, NE
• Providers in Macy, 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 May 16, 2025; 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.

Verify at the official NPI Registry.