Provider Demographics
NPI:1316377286
Name:BUSSING, NATALIE RENEE (LISW,LICSW,CHT)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:RENEE
Last Name:BUSSING
Suffix:
Gender:F
Credentials:LISW,LICSW,CHT
Other - Prefix:MS
Other - First Name:NATELIE
Other - Middle Name:RENEE
Other - Last Name:BUSSING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW,LICSW,CHT
Mailing Address - Street 1:11404 W DODGE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2511
Mailing Address - Country:US
Mailing Address - Phone:402-898-1113
Mailing Address - Fax:402-819-5588
Practice Address - Street 1:11404 W DODGE RD STE 300
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2511
Practice Address - Country:US
Practice Address - Phone:402-898-1113
Practice Address - Fax:402-819-5588
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2925101YM0800X
IA0083421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health