Provider Demographics
NPI:1679046148
Name:SHAW, ELISABETH SCHMIDT (PLMHP)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:SCHMIDT
Last Name:SHAW
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 R ST STE 305
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68501-0010
Mailing Address - Country:US
Mailing Address - Phone:620-899-6806
Mailing Address - Fax:
Practice Address - Street 1:700 R ST STE 305
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68501-0010
Practice Address - Country:US
Practice Address - Phone:620-899-6806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11742101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor