Individual provider Active NPI

Taira Michelle Masek, LMHP

  • Clinical Social Worker
  • Fremont, NE
National Provider Identifier
1952920472
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4178 Issued in NE
Practice address
2320 N Colorado Ave
Fremont, NE 68025-2286
Phone
(402) 660-5490
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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 4178 NE Primary

Addresses

Primary practice location

2320 N Colorado Ave
Fremont, NE 68025-2286

Mailing address

13413 Redwood St
Omaha, NE 68138-6204
Phone (402) 660-5490

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4178NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Unit No 2 of the State of Nebraska CurrentSince Jan 17, 2022 Accepting new patients

Locations

2320 N Colorado Ave
Fremont, NE 68025
Phone (402) 721-7170

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1952920472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13413 REDWOOD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386204",
            "telephone_number": "402-660-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N COLORADO AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252286",
            "telephone_number": "402-660-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEK",
        "first_name": "TAIRA",
        "middle_name": "MICHELLE",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "4178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.