Individual provider Active NPI

Cynthia Jane Cusick, NE LIMHP 1186 90 289

  • Social Worker
  • Fremont, NE
National Provider Identifier
1811484546
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LIMHP1186 Issued in NE
Practice address
725 E 5TH St
Fremont, NE 68025-5163
Phone
(402) 917-2570
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CMSW289 NE
Social Worker 104100000X LMHP90 NE
Social Worker 104100000X LIMHP1186 NE Primary
Social Worker 104100000X CISW7081 IA

Addresses

Primary practice location

725 E 5TH St
Fremont, NE 68025-5163

Mailing address

725 E 5TH St
Fremont, NE 68025-5163
Phone (402) 917-2570

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
I20220215001512 NE Practitioner - Clinical Social Worker 1951794999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CISW7081IAMDSocial Worker
CMSW289NEMDSocial Worker
LIMHP1186NEMDSocial Worker
LMHP90NEMDSocial Worker
289NEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Counseling Group 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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1811484546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E 5TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255163",
            "telephone_number": "402-917-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E 5TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255163",
            "telephone_number": "402-917-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSICK",
        "first_name": "CYNTHIA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "NE LIMHP 1186 90 289",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "CMSW289",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "LMHP90",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "LIMHP1186",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "CISW7081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.