Emilee L. O'brien Licsw Llc | |
1320 G St Geneva NE 68361-2104 | |
(402) 768-8491 | |
Not Available |
Full Name | Emilee L. O'brien Licsw Llc |
---|---|
Speciality | Social Worker |
Location | 1320 G St, Geneva, Nebraska |
Authorized Official Name and Position | Emilee Lauren O'brien (SOLE PROPRIETOR) |
Authorized Official Contact | 4027688491 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Emilee L. O'brien Licsw Llc 1705 G. Street Geneva NE 68361 Ph: (402) 768-8491 | Emilee L. O'brien Licsw Llc 1320 G St Geneva NE 68361-2104 Ph: (402) 768-8491 |
NPI Number | 1184195760 |
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Provider Enumeration Date | 12/07/2018 |
Last Update Date | 12/07/2018 |
Medicare PECOS PAC ID | 6305180043 |
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Medicare Enrollment ID | O20181206000587 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184195760 | NPI | - | NPPES |
1932625647 | Other | NE | BCBS |
1932625647 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Emilee L O'brien |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932625647 PECOS PAC ID: 8820363484 Enrollment ID: I20171006001411 |
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