Individual provider Active NPI

Elizabeth Marie Wollmann, MSW, PLMHP

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1871770099
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8516 Issued in NE
Practice address
5115 F St
Omaha, NE 68117-2807
Phone
(402) 397-9866
Fax
(402) 397-1404
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8516 NE Primary

Addresses

Primary practice location

5115 F St
Omaha, NE 68117-2807

Mailing address

5115 F St
Omaha, NE 68117-2807
Phone (402) 397-9866

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
I20260402000775 NE Practitioner - Mental Health Counselor 9234451964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 N 191St Ave
Elkhorn, NE 68022-3350

5402 Northwest Dr
Omaha, NE 68104-2844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8516NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Mediation & Therapeutic Services, LLC Current Accepting new patients

Locations

3401 N 191st Ave
Elkhorn, NE 68022
Phone (402) 909-2787

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1871770099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681172807",
            "telephone_number": "402-397-9866",
            "fax_number": "402-397-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681172807",
            "telephone_number": "402-397-9866",
            "fax_number": "402-397-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLMANN",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "8516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.