| 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 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 12/07/2018 |
| Medicare PECOS PAC ID | 6305180043 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932625647 PECOS PAC ID: 8820363484 Enrollment ID: I20171006001411 |
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