SHAWNENE JAYNE NICKERSON (NPI# 1093022527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093022527 |
| Entity Type | Individual |
| Full Name | SHAWNENE JAYNE NICKERSON |
| Other Name | SHAWNENE JAYNE NICKERSON-KIESER |
| Credential | LCSW |
| Practice Address |
1313 Farnam St Omaha NE 68102-1881 |
| Mailing Address |
Po Box 8232 Omaha NE 68108-0232 |
| Practice Telephone | 2083293646 |
| Mailing Telephone | 2083293646 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2012-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CERTIF 10089 REF | ID | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | LMSW-24582 | ID | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LIMHP 964 | NE | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW31784 | ID | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LICSW 1433 | NE | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
IDAHO | ID | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
LMSW-24582 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1313 FARNAM ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-1881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461116 | Laura Niehaus | Social Worker | 8869 N 83rd Ave, Omaha, NE 68122-2261 | 2020-06-08 |
| 1861026932 | Juana Lourdes Rangel | Social Worker | 2566 Saint Marys Ave, Omaha, NE 68105-1655 | 2020-02-27 |
| 1891341780 | Amie Houser | Social Worker | 11932 Arbor St Ste 104, Omaha, NE 68144-2986 | 2019-08-15 |
| 1811550403 | Whole Life Counseling & Consulting, Inc. | Social Worker | 5819 S 160th St, Omaha, NE 68135 | 2019-04-18 |
| 1215494943 | Rachel Beranek | Social Worker | 3606 N 156th St Ste 101-299, Omaha, NE 68116-2158 | 2019-02-28 |
| 1649704685 | Timothy Terrell | Social Worker | 2505 N 24th St Ste 223, Omaha, NE 68110-2279 | 2017-04-17 |
| 1548794985 | Caritas Counseling Inc. | Social Worker | 8424 W Center Rd Ste 209, Omaha, NE 68124-3138 | 2017-04-12 |
| 1528416237 | Jana Andrews | Social Worker | 5103 Burt St, Omaha, NE 68132-2221 | 2016-06-03 |
| 1750739090 | Jean Stuto | Social Worker | 3112 N 58th St, Omaha, NE 68104-3449 | 2016-05-26 |
| 1760836332 | Greg Kuipers | Social Worker | 3517 S 90th St, Omaha, NE 68124-3801 | 2016-04-20 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on SHAWNENE JAYNE NICKERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.