Individual provider Active NPI

Leilani R Glaser, LICSW

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1982755609
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1664 Issued in NE
Practice address
3215 W Summit Blvd
Lincoln, NE 68502-5251
Phone
(402) 817-5519
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 1664 NE Primary
Clinical Social Worker 1041C0700X 3014 NE

Addresses

Primary practice location

3215 W Summit Blvd
Lincoln, NE 68502-5251

Mailing address

3215 W Summit Blvd
Lincoln, NE 68502-5251
Phone (402) 326-3620

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
I20190125002560 NE Practitioner - Clinical Social Worker 8325385545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3215 W Summit Blvd
Lincoln, NE 68502-5251
Phone (402) 817-5519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014NEMDClinical Social Worker
1664NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestream Therapy, LLC Clinical CurrentSince Sep 28, 2023 Accepting new patients
Adultspan PC CurrentSince Jul 31, 2022 Accepting new patients

Locations

1001 S 70th St
Ste 225
Lincoln, NE 68510
Phone (402) 325-0117

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1982755609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 W SUMMIT BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025251",
            "telephone_number": "402-326-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 W SUMMIT BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025251",
            "telephone_number": "402-817-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "LEILANI",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1664",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "3014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.