Healthcare Provider Details

I. General information

NPI: 1750846457
Provider Name (Legal Business Name): DANIELLE MALY LIMHP, LMSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 09/29/2026
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12035 Q ST
OMAHA NE
68137-3542
US

IV. Provider business mailing address

12035 Q ST
OMAHA NE
68137-3542
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-0611
  • Fax: 402-991-6228
Mailing address:
  • Phone: 402-991-0611
  • Fax: 402-991-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2462
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1939
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120106
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: