1609868751 NPI number — MS. LINDA JEAN HALBLEIB CMSW LMHP

Table of content: MS. LINDA JEAN HALBLEIB CMSW LMHP (NPI 1609868751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609868751 NPI number — MS. LINDA JEAN HALBLEIB CMSW LMHP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALBLEIB
Provider First Name:
LINDA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CMSW LMHP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HALBLEIB
Provider Other First Name:
LYN
Provider Other Middle Name:
J
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CMSW, LMHP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1609868751
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14005 BIRCHWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68137-4010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-895-1150
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
319 S 17TH ST
Provider Second Line Business Practice Location Address:
STE 240
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68102-1919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-215-5701
Provider Business Practice Location Address Fax Number:
402-558-3039
Provider Enumeration Date:
08/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LMHP LC892 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X , with the licence number: CMSW/574 CRRT , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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