Active NPI
Louise E. Jacobs, LCSW
- Clinical Social Worker
- Hastings, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 947
- 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, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025358700 | Medicaid | NE |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 947 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Integrative Care, LLC | Clinical | Current | Accepting new patients |
| Therapy Resource Associates, Inc. | Clinical | Current | Accepting new patients |
| Quality Healthcare Clinic | Current | 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
- https://api.platform.athenahealth.com/6128/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Sutton, NE
- NPI 1831443076
-
- Clinical Social Worker
- Omaha, NE
- NPI 1023302247
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- Critical Access Hospital
- Aurora, NE
- NPI 1063429694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.