Healthcare Provider Details

I. General information

NPI: 1790790269
Provider Name (Legal Business Name): LINDA MARIE TWOMEY LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 N RANDOLPH ST
WEEPING WATER NE
68463-4253
US

IV. Provider business mailing address

PO BOX 255
WEEPING WATER NE
68463-0255
US

V. Phone/Fax

Practice location:
  • Phone: 402-417-2524
  • Fax:
Mailing address:
  • Phone: 402-297-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1184
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1184 AND 2963
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: