| Cusick Psychotherapy | |
|
725 E 5th St Fremont NE 68025-5163 | |
| (402) 917-2570 | |
| (402) 941-7018 |
| Full Name | Cusick Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 725 E 5th St, Fremont, Nebraska |
| Authorized Official Name and Position | Cynthia Jane Cusick (OWNER THERAPIST) |
| Authorized Official Contact | 4029172570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cusick Psychotherapy 725 E 5th St Fremont NE 68025-5163 Ph: (402) 917-2570 | Cusick Psychotherapy 725 E 5th St Fremont NE 68025-5163 Ph: (402) 917-2570 |
| NPI Number | 1225789845 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 9133512171 |
|---|---|
| Medicare Enrollment ID | O20220215001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225789845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Jane Cusick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811484546 PECOS PAC ID: 1951794999 Enrollment ID: I20220215001512 |
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