| Mallory Hope Coulter, LIMHP, LCSW | |
|
3901 Normal Blvd Ste 201, Lincoln, NE 68506-5250 | |
| (402) 261-4017 | |
| Not Available |
| Full Name | Mallory Hope Coulter |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 3901 Normal Blvd Ste 201, Lincoln, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093231417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18251 (South Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | (Nebraska) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Valley Behavioral Health Inc | 3971403668 | 32 |
| Entity Name | Blue Valley Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316019508 PECOS PAC ID: 3971403668 Enrollment ID: O20040109000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Hope Coulter, LIMHP, LCSW 1123 N 9th St, Beatrice, NE 68310-2041 Ph: (402) 228-3386 | Mallory Hope Coulter, LIMHP, LCSW 3901 Normal Blvd Ste 201, Lincoln, NE 68506-5250 Ph: (402) 261-4017 |
Jessica Mitchell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 S 7th St, Lincoln, NE 68508 Phone: 402-441-7949 | |
Mr. John Roger Long, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 S 70th St, Lincoln, NE 68510 Phone: 402-489-3802 Fax: 402-486-7872 | |
Ms. Kimberly Marie Widicker-densberger, LCSW, LMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 O Street, Suite 300, Lincoln, NE 68508 Phone: 402-441-8817 Fax: 402-441-7160 | |
Nancy Elizabeth Bare, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1930 S 20th St, Lincoln, NE 68502 Phone: 402-436-1161 | |
Erin Owens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3820 Mohawk St, Lincoln, NE 68510 Phone: 402-730-4851 | |
Paige Watson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 N 48th St Ste 303, Lincoln, NE 68504 Phone: 918-859-2326 | |
Christine March Herout, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 S 70th St Rm 2203a, Lincoln, NE 68510 Phone: 817-938-9884 |