Individual provider Active NPI

Lisa Ann Harmon, LCSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1477598720
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1618 Issued in NE
Practice address
4830 S 69TH St
Lincoln, NE 68516-1501
Phone
(402) 327-9751
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1618 NE Primary

Addresses

Primary practice location

4830 S 69TH St
Lincoln, NE 68516-1501

Mailing address

4830 S 69TH St
Lincoln, NE 68516-1501
Phone (402) 327-9751

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
I20040116000708 NE Practitioner - Clinical Social Worker 0648171280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4830 S 69TH St
Lincoln, NE 68516-1501
Phone (402) 327-9751

5561 S 48TH St
Suite 232C
Lincoln, NE 68516-4109
Phone (402) 327-9751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
848NEMDOptometrist
1618NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Harmon, LCSW, Inc Clinical CurrentSince Jul 1, 2006 Accepting new patients

Locations

5561 S 48th St
Ste 232C
Lincoln, NE 68516
Phone (402) 327-9751

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477598720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 S 69TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161501",
            "telephone_number": "402-327-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 S 69TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161501",
            "telephone_number": "402-327-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.