Provider Demographics
NPI:1124190244
Name:SCHULTZ, MAUREEN KAY (LMHP LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:KAY
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LMHP LCSW
Other - Prefix:MRS
Other - First Name:MAUREEN
Other - Middle Name:KAY
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHP LCSW
Mailing Address - Street 1:2220 WHITLOW AVENUE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305
Mailing Address - Country:US
Mailing Address - Phone:402-274-4534
Mailing Address - Fax:
Practice Address - Street 1:820 CENTRAL AVENUE, SUITE 4
Practice Address - Street 2:BLUE VALLEY BEHAVIORAL HEALTH
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305
Practice Address - Country:US
Practice Address - Phone:402-274-4373
Practice Address - Fax:402-274-5442
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE652101YM0800X
NE581101YM0800X
NE4571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470528515-00Medicaid
NE470528515-05Medicaid
NE470528515-10Medicaid
NE470528515-15Medicaid
82120OtherBLUE CROSS BLUE SHIELD
NE10025207700Medicaid
NE470528515-06Medicaid
NE470528515-08Medicaid
NE470528515-09Medicaid
NE470528515-14Medicaid
8348OtherMIDLANDS CHOICE
NE470528515-02Medicaid
NE470528515-04Medicaid
NE470528515-07Medicaid
NE470528515-17Medicaid
NE470528515-01Medicaid
NE470528515-03Medicaid
NE470528515-13Medicaid
NE470528515-00Medicaid
NE470528515-10Medicaid