Marnie Herman Schieffer, LCSW

Individual provider Active NPI Mental Health Counselor · Crofton, NE

NPI 1508002106 · NPPES record last updated Nov 19, 2010

Key facts

NPI
1508002106
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3810 (NE)
Practice address
55549 Highway12
Crofton, NE 68730-0000
Phone
(402) 388-4532
Fax
(402) 357-3501
NPI assigned
Jan 2, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2928SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Family Services Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2928 SD
Mental Health Counselor 101YM0800X 3810 NE Yes
Mental Health Counselor 101YM0800X 1382 NE

Addresses

Primary practice location

55549 Highway12
Crofton, NE 68730-0000

Mailing address

55549 Highway12
PO Box 170
Crofton, NE 68730-0000
Phone (402) 388-4532

Other identifiers

IdentifierTypeStateIssuer
1508002106MedicaidNE
1508002106MedicaidSD

Other providers in Crofton, NE

All providers in Crofton, NE · Mental Health Counselor in Nebraska

Sources for this page

Verify at the official NPI Registry.