Provider Demographics
NPI:1164926101
Name:PRESTON, SARAH (LICSW, LIMHP, LADC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PRESTON
Suffix:
Gender:F
Credentials:LICSW, LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 N CLARKSON ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-7703
Mailing Address - Country:US
Mailing Address - Phone:402-721-0951
Mailing Address - Fax:
Practice Address - Street 1:2740 N CLARKSON ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-7703
Practice Address - Country:US
Practice Address - Phone:402-721-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1579101YA0400X
NE2651101YM0800X
NE20091041C0700X
NE11399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical