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NPI Code Detail

MEDICARE: ANDREW JOEL POWELL LIMHP, LCSW, PLADC

MEDICARE: ANDREW JOEL POWELL LIMHP, LCSW, PLADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor11479NE
21041C0700XClinical Social Worker7246NE
3101YM0800XMental Health Counselor2333NE

General Provider Information

NPI Number : 1942791496
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW JOEL POWELL LIMHP, LCSW, PLADC
Provider Business Mailing Address
First Line : 4545 DODGE ST
Second Line :
City : OMAHA
State : NE
Zip : 68132-3251
Country : US
Telephone Number : 402-553-6000
Fax Number : 402-553-2428
Provider Business Practice Location Address
First Line : 4545 DODGE ST
Second Line :
City : OMAHA
State : NE
Zip : 68132-3251
Country : US
Telephone Number : 402-553-6000
Fax Number : 402-553-2428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 03/18/2025

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