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NPI 1255529145 · live from the CMS NPI Registry

Sandra Lee Kroeker, LCSW

Social Worker, Clinical in Henderson, NE. National Provider Identifier 1255529145, active.

NPI record

NPI1255529145 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1080 17th St, Henderson, NE 68371
Practice phone402-723-4883
Mailing address1080 17th St, P O Box 684, Henderson, NE 68371
EnumeratedOctober 4, 2007
Last updatedMay 12, 2008
Sole proprietorNo
Other namesSandra Kroeker

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X33 (NE)
Social Worker, Clinical primary1041C0700X76 (NE)
Marriage & Family Therapist106H00000X64 (NE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.