Individual provider Active NPI

Laura Marie Daniels, LIMHP, LISW, CMSW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1386895902
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3165 Issued in NE
Practice address
11909 P St Ste 105
Omaha, NE 68137-2235
Phone
(402) 810-1914
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0 KS
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 101976 IA
Clinical Social Worker 1041C0700X 11783 KS
Clinical Social Worker 1041C0700X 3165 NE Primary

Addresses

Primary practice location

11909 P St Ste 105
Omaha, NE 68137-2235

Mailing address

11909 P St Ste 105
Omaha, NE 68137-2235
Phone (402) 810-1914

Other names 1

  • Laura Marie Hagebusch Former name

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
I20230323001947 NE Practitioner - Clinical Social Worker 5597139055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11905 P St
Suite 105
Omaha, NE 68137-2237
Phone (402) 810-1914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101976IAMDClinical Social Worker
11783KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Chance Counseling & Therapy, LLC Clinical CurrentSince Jan 17, 2023 Accepting new patients

Locations

11905 P St
Ste 105
Omaha, NE 68137
Phone (402) 740-9389

11909 P St
Ste 105
Omaha, NE 68137
Phone (402) 810-1914

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1386895902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 P ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372235",
            "telephone_number": "402-810-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 P ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372235",
            "telephone_number": "402-810-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "LIMHP, LISW, CMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "0",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "101976",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "11783",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "3165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HAGEBUSCH",
            "middle_name": "MARIE",
            "credential": "LIMHP, LISW, CMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.