Provider Demographics
NPI:1700223393
Name:DOERR, MADELINE (CSW)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:DOERR
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 S 24TH ST
Mailing Address - Street 2:STE 230
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1226
Mailing Address - Country:US
Mailing Address - Phone:402-978-5673
Mailing Address - Fax:402-591-5075
Practice Address - Street 1:124 S 24TH ST
Practice Address - Street 2:STE 230
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-1226
Practice Address - Country:US
Practice Address - Phone:402-978-5673
Practice Address - Fax:402-591-5075
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health