Active NPI
Tamara Sue Dwyer, LIMHP, CMSW, LMSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1639835200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3821
- Practice address
- 9308 Polk St
Omaha, NE 68127-4451 - Phone
- (402) 208-0621
- NPI assigned
- Nov 9, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095642 | IA | |
| Social Worker | 104100000X | 6193 | NE | |
| Clinical Social Worker | 1041C0700X | 2418 | NE | |
| Clinical Social Worker | 1041C0700X | 3821 | NE | Primary |
Addresses
Primary practice location
9308 Polk St
Omaha, NE 68127-4451
Mailing address
9308 Polk St
Omaha, NE 68127-4451
Phone (402) 319-4559
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 |
|---|---|---|---|
| 3821 | NE | MD | Mental Health Counselor |
| 095642 | IA | MD | Social Worker |
| 6193 | NE | MD | Social Worker |
| 2418 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shift Wellness LLC | Current | Accepting new patients | |
| Sage Counseling Omaha LLC | 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.
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1215756788
-
- Mental Health Counselor
- Omaha, NE
- NPI 1568004653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1639835200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9308 POLK ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681274451",
"telephone_number": "402-319-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9308 POLK ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681274451",
"telephone_number": "402-208-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "TAMARA",
"middle_name": "SUE",
"credential": "LIMHP, CMSW, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "095642",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "6193",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "2418",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "3821",
"primary": true
}
],
"identifiers": [],
"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 Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.