SHAWNENE JAYNE NICKERSON LCSW NPI 1093022527

NPI Information

  • NPI: 1093022527
  • Provider Name: SHAWNENE JAYNE NICKERSON, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 1313 FARNAM ST
    OMAHA, NE
    ZIP 68102
  • Phone: (208) 329-3646

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NPI Details

Shawnene Jayne Nickerson, LCSW is a clinical social worker in Omaha, NE. The provider is 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. Shawnene Jayne Nickerson, LCSW NPI is 1093022527. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1313 FARNAM ST
OMAHA, NE
ZIP 68102-881
Phone: (208) 329-3646

The enumeration date for this NPI number is 9/3/2010 and was last updated on 11/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLICSW 1433NEBRASKANo
2101YA0400XCounselorAddiction (Substance Use Disorder)CERTIF 10089 REF 743IDAHONo
31041S0200XSocial WorkerSchoolIDAHOIDAHONo
41041C0700XSocial WorkerClinicalLIMHP 964NEBRASKANo
5104100000XSocial WorkerLMSW-24582IDAHONo
61041S0200XSocial WorkerSchoolLMSW-24582IDAHONo
71041C0700XSocial WorkerClinicalLCSW31784IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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