Provider Demographics
NPI:1609868751
Name:HALBLEIB, LINDA JEAN (CMSW LMHP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JEAN
Last Name:HALBLEIB
Suffix:
Gender:F
Credentials:CMSW LMHP
Other - Prefix:
Other - First Name:LYN
Other - Middle Name:J
Other - Last Name:HALBLEIB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMSW, LMHP
Mailing Address - Street 1:14005 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-4010
Mailing Address - Country:US
Mailing Address - Phone:402-895-1150
Mailing Address - Fax:
Practice Address - Street 1:319 S 17TH ST
Practice Address - Street 2:STE 240
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1919
Practice Address - Country:US
Practice Address - Phone:402-215-5701
Practice Address - Fax:402-558-3039
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELMHP LC892101YM0800X
NECMSW/574 CRRT1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE276276Medicare ID - Type Unspecified