Individual provider Active NPI

Eliticia E Vieyra

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1518527951
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1672 Issued in NE
Practice address
14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone
(402) 979-6172
Fax
(402) 953-2276
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1672 NE Primary
Mental Health Counselor 101YM0800X 1612 NE

Addresses

Primary practice location

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200

Mailing address

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone (402) 979-6172

Other practice location 1

2001 S 75th St Ste 100
Omaha, NE 68124-2398
Phone (402) 398-5550

Other practice location 2

20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552
Phone (402) 933-5700

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
I20190717000146 NE Practitioner - Clinical Social Worker 4284969080 Practice locations: Omaha, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14301 FNB Pkwy
Suite 100
Omaha, NE 68154-7200
Phone (402) 979-6172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1612NEMDMental Health Counselor
1672NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Immanuel Medical Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1518527951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-979-6172",
            "fax_number": "402-953-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-979-6172",
            "fax_number": "402-953-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S 75th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242398",
            "country_code": "US",
            "telephone_number": "402-398-5550",
            "fax_number": "402-398-5713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20324 Veterans Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680223552",
            "country_code": "US",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIEYRA",
        "first_name": "ELITICIA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1672",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.