Active NPI
Jolene Kollath, LMSW, LMHP
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1629121546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 148 (CMSW)
- Practice address
- 8200 Dodge St
Children's Family Support Center
Omaha, NE 68114-4113 - Phone
- (402) 955-3900
- Fax
- (402) 955-3920
- NPI assigned
- Jan 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 148 (CMSW) | NE | Primary |
| Clinical Social Worker | 1041C0700X | 896 (LMHP) | NE |
Addresses
Primary practice location
8200 Dodge St
Children's Family Support Center
Omaha, NE 68114-4113
Mailing address
8200 Dodge St
Children's Family Support Center
Omaha, NE 68114-4113
Phone (402) 955-5400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84818 | Other | NE | BCBS |
| 3009 | Other | MIDLANDS CHOICE | |
| 6235851 | Other | UNITED BEHAVIORAL HEALTH |
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 |
|---|---|---|---|
| 148 (CMSW) | NE | MD | Clinical Social Worker |
| 896 (LMHP) | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629121546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"address_2": "CHILDREN'S FAMILY SUPPORT CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"address_2": "CHILDREN'S FAMILY SUPPORT CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-3900",
"fax_number": "402-955-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLATH",
"first_name": "JOLENE",
"name_prefix": "Mrs.",
"credential": "LMSW, LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "148 (CMSW)",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "896 (LMHP)",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84818",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "3009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6235851",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.