Individual provider Active NPI

Nene Diallo

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1336685759
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11093 Issued in NE
Practice address
10806 Prairie Hills Dr
Omaha, NE 68144-4830
Phone
(402) 321-8995
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11093 NE Primary
Clinical Social Worker 1041C0700X 7133 NE

Addresses

Primary practice location

10806 Prairie Hills Dr
Omaha, NE 68144-4830

Mailing address

1712 N 73Rd St Apt 3
Omaha, NE 68114-1919
Phone (319) 383-2987

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200321000560 NE Practitioner - Clinical Social Worker 3870921026 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11093NEMDClinical Social Worker
7133NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Horizons Counseling, P.C. Clinical CurrentSince Jun 23, 2020 Accepting new patients
Unmc Physicians CurrentSince Apr 12, 2021 Accepting new patients
No Coast Counseling LLC Past Accepting new patients

Locations

42nd Dewey St
Omaha, NE 68198
Phone (402) 552-6244

8031 W Center Rd
Ste 204
Omaha, NE 68124
Phone (402) 403-9469

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1336685759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 N 73RD ST APT 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141919",
            "telephone_number": "319-383-2987"
        },
        {
            "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": "402-321-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "NENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "11093",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.