# SANFORD MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033654033
- **Authorized official:** MR. WILLIAM SANFORD LICSW (OWNER)
- **Authorized official phone:** (402) 215-5937

## Contact information

- **Practice address:** 1941 S 42ND ST, 416M, OMAHA, NE 68105-2939
- **Practice address phone:** (402) 215-5937
- **Mailing address:** 1941 S 42ND ST, 416M, OMAHA, NE 68105-2939
- **Mailing address phone:** (402) 215-5937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1419 | NE | Yes |

## Other

- **Enumeration date:** 12/29/2016
- **Last updated:** 12/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100255211-00 | — | NE |