Provider Demographics
NPI:1679565725
Name:KURZENBERGER, ALICIA E (LIMHP, LCSW, LADC)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:E
Last Name:KURZENBERGER
Suffix:
Gender:F
Credentials:LIMHP, LCSW, LADC
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:E
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLMHP PMSW
Mailing Address - Street 1:7069 IZARD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-1019
Mailing Address - Country:US
Mailing Address - Phone:402-651-3182
Mailing Address - Fax:
Practice Address - Street 1:10845 HARNEY ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2639
Practice Address - Country:US
Practice Address - Phone:402-916-9421
Practice Address - Fax:402-999-8221
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1303101YA0400X
101YM0800X
NE3089101YP2500X
NE1206104100000X
NE17811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker