Provider Demographics
NPI:1538201579
Name:CATTAU, JEANNE (LIMHP, LCSW)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:CATTAU
Suffix:
Gender:F
Credentials:LIMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-2760
Mailing Address - Country:US
Mailing Address - Phone:402-851-4026
Mailing Address - Fax:
Practice Address - Street 1:1306 ANDREWS DRIVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701
Practice Address - Country:US
Practice Address - Phone:402-851-4026
Practice Address - Fax:402-379-2487
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1942101YM0800X
NE9311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47084203426Medicaid
NE84094OtherBCBS IND. PROVIDER #
NE7501OtherMIDLANDS CHOICE IND. #
NE6251724OtherUBH IND. PROVIDER #
NE47084203426Medicaid