Provider Demographics
NPI:1508002106
Name:SCHIEFFER, MARNIE HERMAN (LCSW)
Entity Type:Individual
Prefix:
First Name:MARNIE
Middle Name:HERMAN
Last Name:SCHIEFFER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55549 HIGHWAY12
Mailing Address - Street 2:PO BOX 170
Mailing Address - City:CROFTON
Mailing Address - State:NE
Mailing Address - Zip Code:68730-0000
Mailing Address - Country:US
Mailing Address - Phone:402-388-4532
Mailing Address - Fax:402-357-3501
Practice Address - Street 1:55549 HIGHWAY12
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:NE
Practice Address - Zip Code:68730-0000
Practice Address - Country:US
Practice Address - Phone:402-388-4532
Practice Address - Fax:402-357-3501
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-02
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD2928101YM0800X
NE3810101YM0800X
NE1382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1508002106Medicaid
SD1508002106Medicaid
NE1508002106Medicaid
NE1508002106Medicare NSC