Provider Demographics
NPI:1548831613
Name:LULING, EMMA CLAIRE (MSW, PLMHP, PCMSW)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CLAIRE
Last Name:LULING
Suffix:
Gender:F
Credentials:MSW, PLMHP, PCMSW
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:CLAIRE
Other - Last Name:WIEDEBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2807
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4350 DEWEY AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1017
Practice Address - Country:US
Practice Address - Phone:402-559-3984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE13256OtherPROVISIONALLY LICENSED MENTAL HEALTH PROFESSIONAL
NE3399OtherCERTIFIED SOCIAL WORKER
NE7807OtherPROVISIONAL CERTIFIED MASTERS SOCIAL WORKER