Healthcare Provider Details

I. General information

NPI: 1740392943
Provider Name (Legal Business Name): ALISON M ALDERMAN-DREHER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 Q ST
OMAHA NE
68137-3542
US

IV. Provider business mailing address

7821 S 99TH ST
LA VISTA NE
68128-4238
US

V. Phone/Fax

Practice location:
  • Phone: 402-592-0328
  • Fax: 402-592-4170
Mailing address:
  • Phone: 402-348-1183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2022
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1109
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: