Edward Thomas Licht is a Clinical in Omaha, Nebraska. Edward Thomas Licht practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Thomas Licht is 1457399875. The last update date is 2007-07-08.
Edward Thomas Licht's current location address is 4101 Woolworth Ave, Omaha, Nebraska. You can contact this provider via phone number 4023468800 and fax number 4029775667. The mailing address for Edward Thomas Licht is 4101 Woolworth Ave, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward Thomas Licht |
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Address | 4101 Woolworth Ave, Omaha, Nebraska |
Phone Number | 4023468800 |
Fax Number | 4029775667 |
Sole Proprietor | X |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1457399875 |
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Provider Enumeration Date | 2006-06-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4101 Woolworth Ave |
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City | Omaha |
State | Nebraska (NE) |
Post Code | 681051850 |
Phone Number | 4023468800 |
Fax Number | 4029775667 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 994 |
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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What is the unique provider identifier assigned to Edward Thomas Licht?
The Edward Thomas Licht has been issued the NPI (National Provider Identifier) 1457399875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Edward Thomas Licht's facilities are situated?
The facilities of Edward Thomas Licht are physically located at the following address: 4101 Woolworth Ave, Omaha, NE, 681051850.
What is Edward Thomas Licht's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward Thomas Licht is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457399875 to Edward Thomas Licht?
The Centers for Medicare & Medicaid Services assigned the 1457399875 to Edward Thomas Licht on 2006-06-04.
When was the information regarding Edward Thomas Licht, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward Thomas Licht, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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