Provider Demographics
NPI:1538578240
Name:MARPLE, LISA (LCSW,LMHP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:MARPLE
Suffix:
Gender:F
Credentials:LCSW,LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 S 42ND ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5619
Mailing Address - Country:US
Mailing Address - Phone:402-525-4809
Mailing Address - Fax:
Practice Address - Street 1:3410 S 42ND ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5619
Practice Address - Country:US
Practice Address - Phone:402-525-4809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13141041C0700X
NE6701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical