Individual provider Active NPI

Louise E. Jacobs, LCSW

  • Clinical Social Worker
  • Hastings, NE
National Provider Identifier
1467444521
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
947 Issued in NE
Practice address
223 E 14TH St
Ste 240
Hastings, NE 68901-3239
Phone
(402) 460-8191
NPI assigned
Aug 16, 2005
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 947 NE Primary

Addresses

Primary practice location

223 E 14TH St
Ste 240
Hastings, NE 68901-3239

Mailing address

PO Box 174
Hastings, NE 68902-0174
Phone (402) 460-8191

Other identifiers 1

IdentifierTypeStateIssuer
10025358700MedicaidNE

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
I20060421000440 NE Practitioner - Clinical Social Worker 1759390610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Resource Associates IncGroup PAC ID 8729971049, 8 clinicians
Quality Healthcare ClinicGroup PAC ID 4183860455, 6 clinicians

Practice addresses (Care Compare)

10824 Old Mill Rd
Suite 21
Omaha, NE 68154-2642
Phone (402) 330-6060

301 S Way Ave
Sutton, NE 68979-2134
Phone (402) 773-0115

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
947NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Integrative Care, LLC Clinical CurrentSince Sep 10, 2015 Accepting new patients
Therapy Resource Associates, Inc. Clinical CurrentSince Nov 1, 2019 Accepting new patients
Quality Healthcare Clinic CurrentSince Apr 22, 2024 Accepting new patients

Locations

1423 7th St
Aurora, NE 68818
Phone (402) 694-3171

905 2nd St
Friend, NE 68359
Phone (402) 947-2541

10824 Old Mill Rd
Ste 21
Omaha, NE 68154
Phone (402) 330-6060

2126 N 117th Ave
Omaha, NE 68164
Phone (402) 934-1617

301 S Way Ave
Sutton, NE 68979
Phone (402) 773-0115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6128/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4
  • Direct secure messaging: louise.jacobs.1@6128.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1467444521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689020174",
            "telephone_number": "402-460-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST",
            "address_2": "STE 240",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013239",
            "telephone_number": "402-460-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LOUISE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025358700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.