Provider Demographics
NPI:1093760803
Name:BRDICKO, DAWN M (MSW, LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:BRDICKO
Suffix:
Gender:F
Credentials:MSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 WOOLWORTH AVE # 118
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1850
Mailing Address - Country:US
Mailing Address - Phone:402-346-8800
Mailing Address - Fax:402-977-5641
Practice Address - Street 1:4101 WOOLWORTH AVE
Practice Address - Street 2:INPATIENT PSYCHIATRY, 10TH FLOOR
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1850
Practice Address - Country:US
Practice Address - Phone:402-346-8800
Practice Address - Fax:402-977-5689
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1119104100000X
NE12821041C0700X
NE2751104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical