Active NPI
Gloria Jean Lacrosse, LCSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1699004465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2519
- Practice address
- 11906 Arbor St
Omaha, NE 68144-2938 - Phone
- (402) 740-2517
- Fax
- (402) 829-9340
- NPI assigned
- Dec 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2519 | NE | Primary |
Addresses
Primary practice location
11906 Arbor St
Omaha, NE 68144-2938
Mailing address
11906 Arbor St
Omaha, NE 68144-2938
Phone (402) 740-2517
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 |
|---|---|---|---|
| 2519 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1699004465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11906 ARBOR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442938",
"telephone_number": "402-740-2517",
"fax_number": "402-829-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11906 ARBOR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442938",
"telephone_number": "402-740-2517",
"fax_number": "402-829-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACROSSE",
"first_name": "GLORIA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "2519",
"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 Dec 8, 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.