VICTORIA LYNNE CASSIDY (NPI# 1043639594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043639594 |
| Entity Type | Individual |
| Full Name | VICTORIA LYNNE CASSIDY |
| Other Name | VICTORIA MARTIN |
| Credential | LIMHP |
| Practice Address |
4318 Fort St Omaha NE 68111 |
| Mailing Address |
4318 Fort St Omaha NE 68111-1849 |
| Practice Telephone | 4025524707 |
| Mailing Telephone | 4025524707 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 2124 | NE | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7366 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2124 | NE | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2014001621 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4318 Fort St, Omaha, NE 68111 | 4025524707 | |
| 5840 Swope Pkwy, Kansas City, MO 641304262 | 8163332990 |
| Street Address |
4318 FORT ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053588582 | Heartland Family Service | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2008-05-14 |
| 1851906408 | Sheila A Nolan | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2020-09-10 |
| 1790251767 | Pamela Galles | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2018-10-17 |
| 1184169955 | Celeste Florea | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| 1922464239 | Brooke Bertling | Speech-Language Pathologist | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2016-01-04 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727037 | Jackie Rae Myers | Counselor | 15704 Corby St, Omaha, NE 68116-2042 | 2020-07-16 |
| 1760037337 | Jessica Farber | Counselor | 14710 W Dodge Rd Ste 200, Omaha, NE 68154-2027 | 2019-08-09 |
| 1063990984 | Ryan Evans Counseling, LLC | Counselor | 12728 Augusta Ave Ste 150, Omaha, NE 68144-3753 | 2018-08-02 |
| 1679079297 | Personal Touch & Care Enterprise Inc. | Counselor | 5635 Kansas Ave Ste 225, Omaha, NE 68104-1226 | 2018-04-03 |
| 1407361348 | Amanda N Boothe | Counselor | 14168 Castelar Plz Apt 10, Omaha, NE 68144-2346 | 2017-12-13 |
| 1619329943 | Elizabeth Blake | Counselor | 3412 S 49th Ave, Omaha, NE 68106-4010 | 2016-07-11 |
| 1376916023 | Moving Forward Counseling LLC | Counselor | 11060 Oak St Ste 2, Omaha, NE 68144-4826 | 2015-11-03 |
| 1548595168 | Claire A Cunningham | Counselor | 9839 S 168th Ave, Suite 2c, Omaha, NE 68136-1113 | 2009-10-15 |
| 1538311493 | Laura Michelle Pryor | Counselor | 7909 L St, Omaha, NE 68127-1725 | 2008-10-22 |
| 1881851707 | Renewal Mental Health Services | Counselor | 2405 S 130th Cir, Omaha, NE 68144-2528 | 2008-05-19 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on VICTORIA LYNNE CASSIDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.