Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY DIERKSEN, MSW, LCSW, PLADC, RN
Active Sole ProprietorTRACY DIERKSEN, MSW, LCSW, PLADC, RN is a Clinical Social Worker healthcare provider located in HAY SPRINGS, Nebraska. NPI 1689972325 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · HAY SPRINGS, NE
Registration Details
- NPI Number
- 1689972325
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2011 (15.425701954113 yrs)
- Last Updated
- Oct 28, 2012
- Licenses
-
53412 (NE)1456, 4091 (NE)P-1077 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 S GIBSON STHAY SPRINGS, NE, 693474208Browse NE providers · Browse ZIP 69347
- Phone
- 3086384411
- Fax
- 3086384412
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.