Active NPI
Coleen K Cusick-Brown, CMSW, LMHP
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1508913864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 715
- Practice address
- 1000 N 90TH St
Ste 200
Omaha, NE 68114-2764 - Phone
- (402) 955-3900
- Fax
- (402) 955-3920
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 715 | NE | Primary |
Addresses
Primary practice location
1000 N 90TH St
Ste 200
Omaha, NE 68114-2764
Mailing address
1000 N 90TH St Ste 200
Children'S Behavioral Health
Omaha, NE 68114-2766
Phone (402) 955-3900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6255838 | Other | UNITED BEHAVIORAL HEALTH | |
| 12575 | Other | MIDLANDS CHOICE | |
| 84365 | Other | NE | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 715 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Specialty Physician Billing - Behavioral Health | Clinical | Past | Accepting new patients |
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.
-
- Psychologist
- Omaha, NE
- NPI 1124152996
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1508913864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N 90TH ST STE 200",
"address_2": "CHILDREN'S BEHAVIORAL HEALTH",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142766",
"telephone_number": "402-955-3900",
"fax_number": "402-955-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 90TH ST",
"address_2": "STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142764",
"telephone_number": "402-955-3900",
"fax_number": "402-955-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSICK-BROWN",
"first_name": "COLEEN",
"middle_name": "K",
"credential": "CMSW, LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6255838",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "12575",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84365",
"state": "NE"
}
],
"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 Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.