Active NPI
Tracy Marie Prenosil, LCSW
- Clinical Social Worker
- Lincoln, NE
National Provider Identifier
1639308059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2300 S 16TH St
Bryanlgh West
Lincoln, NE 68502-3704 - Phone
- (402) 481-5952
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2300 S 16TH St
Bryanlgh West
Lincoln, NE 68502-3704
Mailing address
2300 S 16TH St
Bryanlgh West
Lincoln, NE 68502-3704
Phone (402) 481-5952
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adultspan PC | Past | Accepting new patients | |
| Adultspan PC | Past | Accepting new patients |
Organizations & group practices 2
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": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1639308059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 S 16TH ST",
"address_2": "BRYANLGH WEST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023704",
"telephone_number": "402-481-5952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 16TH ST",
"address_2": "BRYANLGH WEST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023704",
"telephone_number": "402-481-5952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENOSIL",
"first_name": "TRACY",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
- Premier Orthopaedics LLC
- Premier Psychiatric Group
- Premier Standard Home Care
- Maria D Prendes Lintel, PHD
- Jessica Prenosil, PLADC
- Carrie Prentice, M.S. CCC-SLP
- Gianene Prentice, LMHP
- Sara Krista Prescott, LIMHP, LADC
- Preserve Family Dentistry LLC
- Prestige Family Chiropractic and Rehab PC (Prestige Family Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.