Active NPI
Karin Mariagrazia Marasco, LCSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1780663088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60215114
- Practice address
- 10824 Old Mill Rd
Ste 21
Omaha, NE 68154-2642 - Phone
- (402) 330-6060
- Fax
- (402) 330-6108
- NPI assigned
- Jan 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | LW60215114 | WA | Primary |
Addresses
Primary practice location
10824 Old Mill Rd
Ste 21
Omaha, NE 68154-2642
Mailing address
PO Box 32
Chinook, WA 98614-0032
Phone (402) 290-8946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82123 | Other | NE | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 914 | NE | MD | Mental Health Counselor |
| 1933 | NE | MD | Professional Counselor |
| LW60215114 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Resource Associates, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1780663088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "CHINOOK",
"state": "WA",
"postal_code": "986140032",
"telephone_number": "402-290-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10824 OLD MILL RD",
"address_2": "STE 21",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542642",
"telephone_number": "402-330-6060",
"fax_number": "402-330-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARASCO",
"first_name": "KARIN",
"middle_name": "MARIAGRAZIA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60215114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82123",
"state": "NE"
}
],
"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 10, 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.