Individual
AMANDA IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, CMSW
Contact information
Practice address
3031 S 87TH ST, OMAHA, NE 68124-3042
(701) 580-0662
Mailing address
3031 S 87TH ST, OMAHA, NE 68124-3042
(701) 580-0662
(701) 857-0763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4570
ND
1041C0700X
Clinical Social Worker
11074
NE
1041C0700X
Clinical Social Worker
Primary
5391
NE
Other
Enumeration date
04/30/2015
Last updated
12/09/2019
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