Madonna Maria Licht is a Clinical in Omaha, Nebraska. Madonna Maria Licht practices all healthcare services and medical treatments related to Clinical. The NPI Number for Madonna Maria Licht is 1760549885. The last update date is 2007-07-08.
Madonna Maria Licht's current location address is 1490 No 16th St, Omaha, Nebraska. You can contact this provider via phone number 4028270570 and fax number 4028270580. The mailing address for Madonna Maria Licht is 1490 No 16th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Madonna Maria Licht |
|---|---|
| Address | 1490 No 16th St, Omaha, Nebraska |
| Phone Number | 4028270570 |
| Fax Number | 4028270580 |
| Sole Proprietor | N |
| Credentials | LCSW LMHP |
NPI Number Detail
| NPI Number | 1760549885 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1490 No 16th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 68102 |
| Phone Number | 4028270570 |
| Fax Number | 4028270580 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 805 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47037661286 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Madonna Maria Licht by the Centers for Medicare & Medicaid Services?
The Madonna Maria Licht has been assigned the NPI (National Provider Identifier) 1760549885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Madonna Maria Licht's physical address?
The Madonna Maria Licht is physically located at 1490 No 16Th St, in the city of Omaha, NE, with the postal code 68102.
What is Madonna Maria Licht's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Madonna Maria Licht's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760549885 to Madonna Maria Licht?
The Centers for Medicare & Medicaid Services originally issued the 1760549885 to Madonna Maria Licht on 2007-01-02.
When was the information related to Madonna Maria Licht most recently updated or refreshed?
The details pertaining to the Madonna Maria Licht, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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