# MRS. JOLENE KOLLATH

> 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:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629121546
- **Gender:** F
- **Credential:** LMSW, LMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 148 (CMSW) | NE | Yes |
| 1041C0700X | Clinical Social Worker | 896 (LMHP) | NE | — |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3009 | MIDLANDS CHOICE | — |
| 01 | — | 6235851 | UNITED BEHAVIORAL HEALTH | — |
| 01 | — | 84818 | BCBS | NE |