Provider Demographics
NPI:1578268371
Name:KNERR, SABRINA M (PLICSW)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:KNERR
Suffix:
Gender:F
Credentials:PLICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8006 N 146TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-1242
Mailing Address - Country:US
Mailing Address - Phone:402-321-7472
Mailing Address - Fax:
Practice Address - Street 1:8424 W CENTER RD STE 214
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3138
Practice Address - Country:US
Practice Address - Phone:402-983-2877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health