| Sara Gasper Psychotherapy | |
|
2815 S Locust St Grand Island NE 68801-8861 | |
| (308) 398-0350 | |
| (308) 398-0351 |
| Full Name | Sara Gasper Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 2815 S Locust St, Grand Island, Nebraska |
| Authorized Official Name and Position | Sara Gasper (CLINCIAL SOCIAL WORKER) |
| Authorized Official Contact | 4029100479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Gasper Psychotherapy 2815 S Locust St Grand Island NE 68801-8861 Ph: (308) 398-0350 | Sara Gasper Psychotherapy 2815 S Locust St Grand Island NE 68801-8861 Ph: (308) 398-0350 |
| NPI Number | 1578192696 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 07/22/2022 |
| Certification Date | 07/22/2022 |
| Medicare PECOS PAC ID | 5799169116 |
|---|---|
| Medicare Enrollment ID | O20220903000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578192696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara Gasper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528476371 PECOS PAC ID: 6608250022 Enrollment ID: I20220903000051 |
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