Provider Demographics
NPI:1013727411
Name:SMITH, JAMIE L (PLMHP, PCMSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:SMITH
Suffix:
Gender:
Credentials:PLMHP, PCMSW
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:BRINAMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4545 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-3251
Mailing Address - Country:US
Mailing Address - Phone:308-520-8625
Mailing Address - Fax:
Practice Address - Street 1:4545 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-3232
Practice Address - Country:US
Practice Address - Phone:402-553-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE81441041C0700X
NE14219101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical