Anderson Demott, Lynn Patricia
Anderson Demott, Lynn Patricia is an sole proprietor health care provider with primary practice located at 12728 Augusta Avenue Suite 150, Omaha NE 68144-3750. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Anderson Demott, Lynn Patricia can be contacted via phone (402) 330-1537.Contact Information
Primary practice address
12728 Augusta Avenue Suite 150
Omaha NE 68144-3750
Phone: (402) 330-1537
Fax: (402) 330-9331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44 | Nebraska |
Profile Details
| NPI number | 1164487195 |
|---|---|
| LBN Legal business name | Anderson Demott, Lynn Patricia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Aug 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164487195 | NPPES |
| Nebraska | MEDICAID | 47078906000 |
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