Healthcare Provider Details

I. General information

NPI: 1346634672
Provider Name (Legal Business Name): CASSANDRA MUNGER LIMPH LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CASSANDRA SMITH

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 SOUTH 86TH ST STE 102
LINCOLN NE
68526-9253
US

IV. Provider business mailing address

4444 SOUTH 86TH ST STE 102
LINCOLN NE
68526-9253
US

V. Phone/Fax

Practice location:
  • Phone: 402-476-7557
  • Fax: 402-476-9912
Mailing address:
  • Phone: 402-476-7557
  • Fax: 402-476-9912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3390
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12112
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: