Provider Demographics
NPI:1134941719
Name:LICHTER, EMILY MORGAN (LIMHP, MSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MORGAN
Last Name:LICHTER
Suffix:
Gender:F
Credentials:LIMHP, MSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MORGAN
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19070 U ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-4110
Mailing Address - Country:US
Mailing Address - Phone:402-201-4068
Mailing Address - Fax:
Practice Address - Street 1:2255 S 132ND ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2573
Practice Address - Country:US
Practice Address - Phone:402-334-1122
Practice Address - Fax:402-334-8171
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3880101YM0800X
NE24451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health