Provider Demographics
NPI:1720561012
Name:WIPF, MEREDITH ANN (LMHP, LCMSW)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANN
Last Name:WIPF
Suffix:
Gender:F
Credentials:LMHP, LCMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5619 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-3601
Mailing Address - Country:US
Mailing Address - Phone:531-299-8862
Mailing Address - Fax:
Practice Address - Street 1:11605 MIRACLE HILLS DR STE 300
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4467
Practice Address - Country:US
Practice Address - Phone:402-238-1431
Practice Address - Fax:402-281-1862
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20681041C0700X
NE112261041S0200X
NE71691041S0200X
NE5711101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool