Jody A Jurgens
Individual provider Active NPI Social Worker · Omaha, NE
NPI 1609936657 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609936657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 756 (NE)
- Practice address
- 820 South 75TH Street
Omaha, NE 68114-4623 - Phone
- (402) 391-2477
- Fax
- (402) 397-4268
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Enrichment Inc
Practice addresses (Care Compare)
820 S 75TH St
Omaha, NE 68114-4623
Phone (402) 391-2477
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111025000059 | NE | Practitioner - Clinical Social Worker | 4486827169 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 488 | NE | MD | Behavioral Analyst |
| 756 | NE | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Enrichment Inc | Social Worker | Current |
Accepting new patients |
Locations
820 S 75th St
Omaha, NE 68114
Phone (402) 391-2477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 756 | NE | Yes |
Addresses
Primary practice location
820 South 75TH Street
Omaha, NE 68114-4623
Mailing address
820 South 75TH Street
Omaha, NE 68114-4623
Phone (402) 391-2477
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.