Provider Demographics
NPI:1134602402
Name:CASEY, ELIZABETH (LCSW, LMHP, MSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CASEY
Suffix:
Gender:F
Credentials:LCSW, LMHP, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-3546
Mailing Address - Country:US
Mailing Address - Phone:531-299-8311
Mailing Address - Fax:531-299-2479
Practice Address - Street 1:5105 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-3546
Practice Address - Country:US
Practice Address - Phone:531-299-8311
Practice Address - Fax:531-299-2479
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16351041S0200X
NE47471041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool