Individual provider Active NPI

Jessica E Moser, MSW, PLCSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1639719313
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7054 Issued in NE
Practice address
700 Penrose Dr
Lincoln, NE 68521-8928
Phone
(402) 436-1222
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 7054 NE Primary

Addresses

Primary practice location

700 Penrose Dr
Lincoln, NE 68521-8928

Mailing address

5905 O St
Lincoln, NE 68510-2235
Phone (402) 436-1000

Other identifiers 1

IdentifierTypeStateIssuer
7054OtherNESTATE OF NE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmoser@lps.org
Direct Messaging Address jmoser@lps.org

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

LicenseStateTypeSpecialty
7054NEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1639719313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102235",
            "telephone_number": "402-436-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PENROSE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685218928",
            "telephone_number": "402-436-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "MSW, PLCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NE",
            "identifier": "7054",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoser@lps.org",
            "affiliation": "N",
            "address_1": "5905 O St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685102235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoser@lps.org",
            "affiliation": "N",
            "address_1": "5905 O St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685102235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.