Individual provider Active NPI

Morgan Otto-Berglund, LCSW

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1437567732
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2276 Issued in NE
Practice address
2723 S 87TH St
Omaha, NE 68124-3038
Phone
(402) 640-8282
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12591 LA
Clinical Social Worker 1041C0700X 2019040265 MO
Clinical Social Worker 1041C0700X 2276 NE Primary

Addresses

Primary practice location

2723 S 87TH St
Omaha, NE 68124-3038

Mailing address

2518 S 123Rd St
Omaha, NE 68144-2777
Phone (402) 640-8282

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

LicenseStateTypeSpecialty
12591LAMDSocial Worker
2019040265MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breathing Room Therapy and Wellness Current Accepting new patients
Breathing Room LLC Clinical CurrentSince Apr 14, 2024 Accepting new patients

Locations

107 W 9th St
Kansas City, MO 64105
Phone (816) 372-1556

2723 S 87th St
Omaha, NE 68124
Phone (402) 393-2700

Organizations & group practices 2

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1437567732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 S 123RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442777",
            "telephone_number": "402-640-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 87TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243038",
            "telephone_number": "402-640-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO-BERGLUND",
        "first_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "12591",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019040265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 12, 2024; 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.