Healthcare Provider Details

I. General information

NPI: 1780441154
Provider Name (Legal Business Name): COURTNEY CARON LIMHP, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 DORCAS ST
OMAHA NE
68108-1160
US

IV. Provider business mailing address

825 DORCAS ST
OMAHA NE
68108-1137
US

V. Phone/Fax

Practice location:
  • Phone: 402-977-4444
  • Fax:
Mailing address:
  • Phone: 402-536-0940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4583
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2691
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: