Healthcare Provider Details

I. General information

NPI: 1376131706
Provider Name (Legal Business Name): JANE POTTER MS,LMSW, LISW, LIMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANE POLINSKI MS,LMSW, LIMHP

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 CASS ST
OMAHA NE
68114-3529
US

IV. Provider business mailing address

8333 CASS ST
OMAHA NE
68114-3529
US

V. Phone/Fax

Practice location:
  • Phone: 402-940-7387
  • Fax: 402-702-0538
Mailing address:
  • Phone: 402-940-7387
  • Fax: 402-702-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3042
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2149
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number122645
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: