Individual provider Active NPI

Lilian Curtis, LICSW

  • Social Worker
  • Omaha, NE
National Provider Identifier
1801130323
Registry record updated Mar 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1620 Issued in NE
Practice address
4611 S 96TH St Ste 225
Omaha, NE 68127
Phone
(402) 578-1255
Fax
(402) 238-1707
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1620 NE
Social Worker 104100000X 1620 NE Primary

Addresses

Primary practice location

4611 S 96TH St Ste 225
Omaha, NE 68127

Mailing address

4611 S 96TH St Ste 225
Omaha, NE 68127-1243
Phone (402) 578-1255

Other identifiers 1

IdentifierTypeStateIssuer
1541OtherNEINDEPENDENT MENTAL HEALTH PROVIDER LICENSE

Other names 1

  • Lilian Chansa Other name

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
I20160415001844 NE Practitioner - Clinical Social Worker 4981902442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4611 S 96TH St
Suite 113
Omaha, NE 68127-1227
Phone (402) 578-1255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1620NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Devine Counseling and Consulting, LLC CurrentSince Apr 17, 2019 Accepting new patients

Locations

4611 S 96th St
Ste 225
Omaha, NE 68127
Phone (402) 578-1255

4611 S 96th St
Ste 113
Omaha, NE 68127
Phone (402) 578-1255

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551484800000",
    "number": "1801130323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 225",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271243",
            "telephone_number": "402-578-1255",
            "fax_number": "402-238-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 225",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68127",
            "telephone_number": "402-578-1255",
            "fax_number": "402-238-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "LILIAN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2019-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1620",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT MENTAL HEALTH PROVIDER LICENSE",
            "identifier": "1541",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIAN",
            "last_name": "CHANSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.