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NPI 1508084450 · live from the CMS NPI Registry

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Social Worker, Clinical in Omaha, NE. National Provider Identifier 1508084450, active.

NPI record

NPI1508084450 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location5017 Leavenworth St., Ste 1, Omaha, NE 68132
Practice phone402-556-2367
EnumeratedApril 23, 2007
Last updatedSeptember 11, 2025
Authorized officialBonnie Sarton Mierau, Director Of Social Services

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X1194 (NE)
Social Worker, Clinical primary1041C0700X2441 (NE)

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