Mcquillen, Jodi Lynn

Mcquillen, Jodi Lynn is an sole proprietor health care provider with primary practice located at 2510 Bellevue Medical Center Dr Suite 200, Bellevue NE 68123-1520. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mcquillen, Jodi Lynn can be contacted via phone (402) 575-2275.

Contact Information

Primary practice address
2510 Bellevue Medical Center Dr Suite 200 Bellevue NE 68123-1520
Phone: (402) 575-2275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006833 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3448 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 753 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1303 Nebraska

Profile Details

NPI number 1578766143
LBN Legal business name Mcquillen, Jodi Lynn
Credentials LIMHP, LCSW, LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2007
Last updated Feb 22nd, 2017 - about 7 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578766143 NPPES
Nebraska MEDICAID 100258639-00
Nebraska Other NA1591

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