Active NPI
Laura Dolejs, LCSW
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1871087254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1806
- Practice address
- 16909 Lakeside Hills CT Ste 400
Omaha, NE 68130-4661 - Phone
- (402) 758-5850
- Fax
- (402) 758-5855
- NPI assigned
- Jun 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1806 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 2248 | NE |
Addresses
Primary practice location
16909 Lakeside Hills CT Ste 400
Omaha, NE 68130-4661
Mailing address
3610 N 163Rd PLZ Ste 202
Omaha, NE 68116-2164
Phone (402) 534-1602
Other practice location 1
3610 N 163rd Plz Ste 202
Omaha, NE 68116-2164
Phone (402) 534-1602
Other names 1
- Ms. Laura Komenda
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 |
|---|---|---|---|
| 2248 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Wellness Collective | 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.
-
- Adult Mental Health Clinic/Center
- Omaha, NE
- NPI 1437806387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1871087254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 N 163RD PLZ STE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681162164",
"telephone_number": "402-534-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16909 LAKESIDE HILLS CT STE 400",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304661",
"telephone_number": "402-758-5850",
"fax_number": "402-758-5855"
}
],
"practiceLocations": [
{
"address_1": "3610 N 163rd Plz Ste 202",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681162164",
"country_code": "US",
"telephone_number": "402-534-1602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLEJS",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1806",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2248",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "KOMENDA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.