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General NPI Number Information
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NPI Number | 1720561012
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Entity Type | Individual
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Provider Name | MEREDITH ANN WIPF LMHP, LCMSW
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Gender | Female
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 11605 MIRACLE HILLS DR STE 300
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City | OMAHA
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State | NE
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Zip | 68154-4467
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Country | US
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Telephone | 402-238-1431
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Fax | 402-281-1862
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Provider Business Mailing Address
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Address Line | 5619 S 19TH ST
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City | OMAHA
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State | NE
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Zip | 68107-3601
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Country | US
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Telephone | 531-299-8862
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2068
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 11226
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 7169
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5711
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License Number State | NE
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