Individual
TINA L FARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP LCSW
Contact information
Practice address
5600 S 59TH ST STE 104, ORR PSYCHOTHERAPY RESOURCES, LINCOLN, NE 68516-2387
(402) 484-0595
(402) 484-0595
Mailing address
841 COACHMANS DRIVE, LINCOLN, NE 68510
(402) 483-5709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2525
NE
1041C0700X
Clinical Social Worker
Primary
1058
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024982600
—
NE
05
—
47084125026
—
NE
01
—
82697
BCBS
NE
Enumeration date
01/05/2007
Last updated
12/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us