| Tiffany D. Koenen, Lcsw, P.c. | |
|
8021 Chicago St Omaha NE 68114-3533 | |
| (402) 502-1024 | |
| (402) 502-1555 |
| Full Name | Tiffany D. Koenen, Lcsw, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8021 Chicago St, Omaha, Nebraska |
| Authorized Official Name and Position | Tiffany Dawn Koenen (PRESIDENT) |
| Authorized Official Contact | 4025021024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany D. Koenen, Lcsw, P.c. 8021 Chicago St Omaha NE 68114-3533 Ph: (402) 502-1024 | Tiffany D. Koenen, Lcsw, P.c. 8021 Chicago St Omaha NE 68114-3533 Ph: (402) 502-1024 |
| NPI Number | 1760680409 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760680409 | NPI | - | NPPES |
| 10025455400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1028 (Nebraska) | Primary |
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