Provider Demographics
NPI:1891404802
Name:LORENZEN, KATIE LYNNE (PCMSW, PLMHP, PLADC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:LYNNE
Last Name:LORENZEN
Suffix:
Gender:F
Credentials:PCMSW, PLMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8998 L ST STE 110
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1400
Mailing Address - Country:US
Mailing Address - Phone:402-651-5404
Mailing Address - Fax:
Practice Address - Street 1:8998 L ST STE 110
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1400
Practice Address - Country:US
Practice Address - Phone:402-651-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-2017101YA0400X
NE7610104100000X
NE125771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker