Provider Demographics
NPI:1891341780
Name:HOUSER, AMIE (LMSW, LMHP, LCSW)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:
Last Name:HOUSER
Suffix:
Gender:F
Credentials:LMSW, LMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5716 S 170TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-2264
Mailing Address - Country:US
Mailing Address - Phone:402-200-9578
Mailing Address - Fax:
Practice Address - Street 1:11932 ARBOR ST STE 104
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2986
Practice Address - Country:US
Practice Address - Phone:402-321-8995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE71771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical