Provider Demographics
NPI:1063449395
Name:BORER, KERSTEN RENE' (LIMHP, CMSW, LADC)
Entity Type:Individual
Prefix:MRS
First Name:KERSTEN
Middle Name:RENE'
Last Name:BORER
Suffix:
Gender:F
Credentials:LIMHP, CMSW, LADC
Other - Prefix:MISS
Other - First Name:KERSTEN
Other - Middle Name:RENE'
Other - Last Name:SCHWARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12001 Q ST.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137
Mailing Address - Country:US
Mailing Address - Phone:402-592-0328
Mailing Address - Fax:402-592-4170
Practice Address - Street 1:12001 Q ST.
Practice Address - Street 2:SUITE 1
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137
Practice Address - Country:US
Practice Address - Phone:402-592-0328
Practice Address - Fax:402-592-4170
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE614101YA0400X
NE203101YM0800X
NE10451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical