Provider Demographics
NPI:1639878952
Name:HILLER, LAUREN PAIGE (LICSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:PAIGE
Last Name:HILLER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:WEEPING WATER
Mailing Address - State:NE
Mailing Address - Zip Code:68463-0343
Mailing Address - Country:US
Mailing Address - Phone:402-405-6845
Mailing Address - Fax:
Practice Address - Street 1:302 S RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:WEEPING WATER
Practice Address - State:NE
Practice Address - Zip Code:68463-4209
Practice Address - Country:US
Practice Address - Phone:402-405-6845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2255101YM0800X
NE18591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical