Provider Demographics
NPI:1548259534
Name:NEEMAN, LISA L (LCSW)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:L
Last Name:NEEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 95026
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68509-5026
Mailing Address - Country:US
Mailing Address - Phone:402-471-1920
Mailing Address - Fax:
Practice Address - Street 1:301 CENTENNIAL MALL S
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2529
Practice Address - Country:US
Practice Address - Phone:402-471-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0033061041C0700X
FLSW103701041C0700X
NE16571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003645000Medicaid
NC6002916Medicaid
NC2852832Medicare PIN
NC6002916Medicaid