Tina L Fardella, LMHP LCSW is a
Social Worker - Clinical based in Lincoln, Nebraska. Tina L Fardella is licensed to practice in Nebraska (license number 1058) and her current practice location is
5600 S 59th St Ste 104, Orr Psychotherapy Resources, Lincoln, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 484-0595.
NPI number for Tina L Fardella is 1376690891 and her current mailing address is 841 Coachmans Drive, Lincoln, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376690891.
Healthcare Provider's Profile
Full Name | Tina L Fardella |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5600 S 59th St Ste 104, Lincoln, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376690891
- Provider Enumeration Date: 01/05/2007
- Last Update Date: 12/20/2010
Medical Identifiers
Medical identifiers for Tina L Fardella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376690891 | NPI | - | NPPES |
47084125026 | Medicaid | NE | |
82697 | Other | NE | BCBS |
10024982600 | Medicaid | NE | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2525 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 1058 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina L Fardella is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tina L Fardella, LMHP LCSW 841 Coachmans Drive, Lincoln, NE 68510 Ph: (402) 483-5709 | Tina L Fardella, LMHP LCSW 5600 S 59th St Ste 104, Orr Psychotherapy Resources, Lincoln, NE 68516-2387 Ph: (402) 484-0595 |
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