Provider Demographics
NPI:1164564167
Name:DAVIDSON-FISHER, KAREN M (LMHP CMSW LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:DAVIDSON-FISHER
Suffix:
Gender:F
Credentials:LMHP CMSW LCSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:DAVIDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4161 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1761
Mailing Address - Country:US
Mailing Address - Phone:402-706-8364
Mailing Address - Fax:402-898-8886
Practice Address - Street 1:4161 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1761
Practice Address - Country:US
Practice Address - Phone:402-706-8364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1007101YM0800X
NE2170101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health