Individual provider Active NPI

Denise L Serres, LCSW

  • Clinical Social Worker
  • Norfolk, NE
National Provider Identifier
1588753081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1499 LMPH 775 CMSW Issued in NE
Practice address
1306 N 13TH St
Norfolk, NE 68701-2591
Phone
(402) 371-8218
Fax
(402) 371-8259
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 1499 LMPH 775 CMSW NE Primary

Addresses

Primary practice location

1306 N 13TH St
Norfolk, NE 68701-2591

Mailing address

PO Box 53
Norfolk, NE 68702-0053
Phone (402) 371-8218

Other identifiers 3

IdentifierTypeStateIssuer
83009OtherNEBC/BS OF NEBRASKA
10480OtherNEMIDLANDS CHOICE
47080527026MedicaidNE

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
I20100917000492 NE Practitioner - Clinical Social Worker 7113042854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Psychologists and Counselors LLCGroup PAC ID 2163418070, 5 clinicians

Practice addresses (Care Compare)

1306 N 13TH St
Suite 100
Norfolk, NE 68701-2591
Phone (402) 371-8218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1499 LMPH 775 CMSWNEMDClinical Social Worker
775NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Psychologists & Counselors, LLC CurrentSince Jan 1, 2001 Accepting new patients

Locations

1306 N 13th St
Ste 100
Norfolk, NE 68701
Phone (402) 371-8218

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588753081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687020053",
            "telephone_number": "402-371-8218",
            "fax_number": "402-371-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012591",
            "telephone_number": "402-371-8218",
            "fax_number": "402-371-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRES",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1499 LMPH  775 CMSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NEBRASKA",
            "identifier": "83009",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "10480",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080527026",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.