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General NPI Number Information
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NPI Number | 1982404513
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Entity Type | Individual
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Provider Name | CHELSEA JEAN SEDLACEK-BERGMEIER LIMHP, LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 4433 S 70TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-4275
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Country | US
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Telephone | 402-471-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 18430 E LOCUST RD
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City | VIRGINIA
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State | NE
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Zip | 68458-8227
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Country | US
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Telephone | 402-806-9454
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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 | 2315
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3537
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License Number State | NE
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