Individual provider Active NPI

Glen H Fineman, LCSW

  • Social Worker
  • Omaha, NE
National Provider Identifier
1740273655
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
230 Issued in NE
Practice address
12818 Augusta Ave
Omaha, NE 68144-3733
Phone
(402) 334-1122
Fax
(402) 334-8171
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 852 NE
Social Worker 104100000X 230 NE Primary

Addresses

Primary practice location

12818 Augusta Ave
Omaha, NE 68144-3733

Mailing address

12818 Augusta Ave
Omaha, NE 68144-3733
Phone (402) 334-1122

Other identifiers 1

IdentifierTypeStateIssuer
47076860626MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000619 NE Practitioner - Clinical Social Worker 6406918275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Counseling Professionals PCGroup PAC ID 3274586995, 10 clinicians

Practice addresses (Care Compare)

2255 S 132ND St
Omaha, NE 68144-2573
Phone (402) 334-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
852NEMDOccupational Therapist
297NEMDAudiologist
230NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Counseling Professionals PC CurrentSince May 1, 1999 Accepting new patients
Father Flanagan'S Boys Home Past Accepting new patients

Locations

2255 S 132nd St
Ste 200
Omaha, NE 68144
Phone (402) 334-1122

12818 Augusta Ave
Omaha, NE 68144
Phone (402) 334-1122

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740273655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443733",
            "telephone_number": "402-334-1122",
            "fax_number": "402-334-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443733",
            "telephone_number": "402-334-1122",
            "fax_number": "402-334-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINEMAN",
        "first_name": "GLEN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "852",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47076860626",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.