Andorf-Blum, Wendy L.
Andorf-Blum, Wendy L. is an sole proprietor health care provider with primary practice located at 4444 South 86Th St Ste 102, Lincoln NE 68526-9253. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andorf-Blum, Wendy L. can be contacted via phone (402) 476-7557.Contact Information
Primary practice address
4444 South 86Th St Ste 102
Lincoln NE 68526-9253
Phone: (402) 476-7557
Fax: (402) 476-9912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 320 | Nebraska |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8 | Nebraska |
Profile Details
| NPI number | 1629084355 |
|---|---|
| LBN Legal business name | Andorf-Blum, Wendy L. |
| Credentials | LCSW LIMHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Sep 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629084355 | NPPES |
| Nebraska | MEDICAID | 10025262900 | |
| Nebraska | Other | 247270000 | |
| Nebraska | Other | 85345 |
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