| Family Enrichment Inc | |
|
820 South 75th Street Omaha NE 68114-4623 | |
| (402) 391-2477 | |
| (402) 397-4268 |
| Full Name | Family Enrichment Inc |
|---|---|
| Speciality | Social Worker |
| Location | 820 South 75th Street, Omaha, Nebraska |
| Authorized Official Name and Position | Priscilla S Thralls (SECRETARY) |
| Authorized Official Contact | 4023912477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Enrichment Inc 820 South 75th Street Omaha NE 68114-4623 Ph: (402) 391-2477 | Family Enrichment Inc 820 South 75th Street Omaha NE 68114-4623 Ph: (402) 391-2477 |
| NPI Number | 1164582169 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 5698728509 |
|---|---|
| Medicare Enrollment ID | O20050302000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164582169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Amy P Jonas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497925192 PECOS PAC ID: 4587798947 Enrollment ID: I20110729000475 |
| Provider Name | Gabriella Mctate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609936640 PECOS PAC ID: 8022281708 Enrollment ID: I20111025000051 |
| Provider Name | Jody Jurgens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609936657 PECOS PAC ID: 4486827169 Enrollment ID: I20111025000059 |
| Provider Name | Morgan Hecht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467512483 PECOS PAC ID: 1557534047 Enrollment ID: I20111027000950 |
| Provider Name | Jeff J Keogh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851698062 PECOS PAC ID: 0648438630 Enrollment ID: I20120222000366 |
| Provider Name | Tiffany M True |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528417714 PECOS PAC ID: 6507113552 Enrollment ID: I20180720002652 |
| Provider Name | Erin L. Bagwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861884223 PECOS PAC ID: 8729304605 Enrollment ID: I20180809001209 |
| Provider Name | Mary M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790105948 PECOS PAC ID: 6204262363 Enrollment ID: I20200208000074 |
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