Basic Information
| Provider Information | |||||||||
| NPI: | 1750356564 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUBS-CERNY | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 124 S 24TH ST STE 230 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681021226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4029785644 | ||||||||
| FaxNumber: | 4025915075 | ||||||||
| Practice Location | |||||||||
| Address1: | 4939 S 118TH ST | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681372213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024510787 | ||||||||
| FaxNumber: | 4028987750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2006 | ||||||||
| LastUpdateDate: | 11/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 2380 | NE | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | 1033 | NE | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 101YM0800X | 85 | NE | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.