Provider Demographics
NPI:1376210005
Name:HERBOLSHEIMER, SARAH ANN (MSW, PLMHP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:HERBOLSHEIMER
Suffix:
Gender:F
Credentials:MSW, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 S 127TH CT # 3-304
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4038
Mailing Address - Country:US
Mailing Address - Phone:503-946-8160
Mailing Address - Fax:
Practice Address - Street 1:3131 S 127TH CT # 3-304
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4038
Practice Address - Country:US
Practice Address - Phone:503-946-8160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE124041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical