# SARA PATTAVINA MOULTON, LIMHP, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447537220
- **Authorized official:** SARA E PATTAVINA MOULTON (PRESIDENT)
- **Authorized official phone:** (402) 312-0177

## Contact information

- **Practice address:** 1804 S 116TH ST, OMAHA, NE 68144-2902
- **Practice address phone:** (402) 312-0177
- **Practice address fax:** (402) 939-0141
- **Mailing address:** 1804 S 116TH ST, OMAHA, NE 68144-2902
- **Mailing address phone:** (402) 312-0177
- **Mailing address fax:** (402) 939-0141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2011
- **Last updated:** 08/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026137800 | — | NE |