| Catholic Charities Of The Archdiocese Of Omaha Inc | |
|
9223 Bedford Ave Omaha NE 68134-4725 | |
| (402) 554-0520 | |
| Not Available |
| Full Name | Catholic Charities Of The Archdiocese Of Omaha Inc |
|---|---|
| Speciality | Counselor |
| Location | 9223 Bedford Ave, Omaha, Nebraska |
| Authorized Official Name and Position | Theresa Ross (SENIOR FINANCE DIRECTOR) |
| Authorized Official Contact | 4028299292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Archdiocese Of Omaha Inc 9223 Bedford Ave Omaha NE 68134-4725 Ph: (402) 554-0520 | Catholic Charities Of The Archdiocese Of Omaha Inc 9223 Bedford Ave Omaha NE 68134-4725 Ph: (402) 554-0520 |
| NPI Number | 1225127657 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/17/2022 |
| Medicare PECOS PAC ID | 5597735258 |
|---|---|
| Medicare Enrollment ID | O20040729000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225127657 | NPI | - | NPPES |
| 99050 | Other | NE | BCBS |
| 10025225100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SATC087 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amanda J Buscher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831815398 PECOS PAC ID: 2264897438 Enrollment ID: I20230424002202 |
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