Provider Demographics
NPI:1487828208
Name:SIEMEK-ASCHE, PEGGY LEE (LMHP, LADC, LCSW)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:LEE
Last Name:SIEMEK-ASCHE
Suffix:
Gender:F
Credentials:LMHP, LADC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S 25TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3654
Mailing Address - Country:US
Mailing Address - Phone:402-717-5306
Mailing Address - Fax:402-717-5499
Practice Address - Street 1:415 S 25TH AVENUE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3654
Practice Address - Country:US
Practice Address - Phone:402-717-5306
Practice Address - Fax:402-717-5499
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical