Individual provider Active NPI

Cynthia K. Duggin, LICSW

  • Social Worker
  • Omaha, NE
National Provider Identifier
1629007356
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
952 Issued in NE
Practice address
706 N 129TH St Ste 103
Omaha, NE 68154-6116
Phone
(402) 630-2013
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 952 NE Primary

Addresses

Primary practice location

706 N 129TH St Ste 103
Omaha, NE 68154-6116

Mailing address

6238 N 154TH St
Omaha, NE 68116-4445
Phone (402) 630-2013

Other practice location 1

11905 Arbor St
Omaha, NE 68144-2970
Phone (402) 330-4456

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
I20091203000377 NE Practitioner - Clinical Social Worker 9931248069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Counseling Professionals PCGroup PAC ID 3274586995, 10 clinicians

Practice addresses (Care Compare)

2255 S 132ND St
Suite 200
Omaha, NE 68144-2573
Phone (402) 334-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
952NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Counseling Professionals PC Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Jessica M Bentzen Professional Services LLC PastSince May 9, 2021 Accepting new patients
The Willow Group, P.C. Mental Health Past Accepting new patients
Father Flanagan'S Boys Home PastSince Mar 1, 2023 Accepting new patients

Locations

2255 S 132nd St
Ste 200
Omaha, NE 68144
Phone (402) 334-1122

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1629007356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 N 154TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164445",
            "telephone_number": "402-630-2013",
            "fax_number": "402-884-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N 129TH ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546116",
            "telephone_number": "402-630-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11905 Arbor St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681442970",
            "country_code": "US",
            "telephone_number": "402-330-4456",
            "fax_number": "402-504-4826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGIN",
        "first_name": "CYNTHIA",
        "middle_name": "K.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.