Individual
DIEDRE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
330 N 48TH ST STE A, LINCOLN, NE 68504-3515
(402) 326-9168
(402) 817-1172
Mailing address
330 N 48TH ST STE A, LINCOLN, NE 68504-3515
(402) 326-9168
(402) 817-1172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3052
NE
1041C0700X
Clinical Social Worker
2024
NE
Other
Enumeration date
05/06/2019
Last updated
11/13/2025
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