Provider Demographics
NPI:1861038796
Name:ESTRADA, HOPE ELISABETH (LIMHP, LICSW,MSW)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:ELISABETH
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:LIMHP, LICSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4719 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5456
Mailing Address - Country:US
Mailing Address - Phone:402-413-9147
Mailing Address - Fax:
Practice Address - Street 1:4719 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5456
Practice Address - Country:US
Practice Address - Phone:402-413-9147
Practice Address - Fax:402-261-7149
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3310101YM0800X, 101YM0800X
NE5791101YM0800X
NE21101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty