Katherine Ann Nicolarsen, LCSW LMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1177 Issued in NE

Practice address

302 American Pkwy
Papillion, NE 68046-6270

Phone

(402) 339-2544

Fax

(402) 339-4358

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Ann Burkhead Former name

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Katherine Nicolarsen, LLC

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1093541203
  Medicare reassignment NPD Authorized official
• Psychiatric Services, PC

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1992781074
  Medicare reassignment

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1508858648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4559 SHIRLEY ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68106",
            "telephone_number": "402-558-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 AMERICAN PKWY",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466270",
            "telephone_number": "402-339-2544",
            "fax_number": "402-339-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLARSEN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "LCSW LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2946",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BURKHEAD",
            "middle_name": "ANN",
            "credential": "PLMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Dinh Nguyen
• Jennifer Nguyen
• Thao Linh Nguyen
• Trent Nguyen
• Madeline Sarah Nichol, PT, DPT
• Donna Jean Nider
• Victoria Nielson
• Mohamed Nikiema
• Stephanie Niverson
• Eric Nixon

• Social Worker in Papillion, NE
• Providers in Papillion, NE by specialty
• Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.

Verify at the official NPI Registry.