Individual
EMILIA ROSE MAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMSW, LIMHP
Contact information
Practice address
8333 CASS ST, OMAHA, NE 68114-3529
(402) 320-7014
(402) 702-0538
Mailing address
8333 CASS ST, OMAHA, NE 68114-3529
(402) 320-7014
(402) 702-0538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13140
NE
101YM0800X
Mental Health Counselor
4040
NE
1041C0700X
Clinical Social Worker
Primary
2501
NE
1041C0700X
Clinical Social Worker
Primary
7771
NE
222Q00000X
Developmental Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
225800000X
Recreation Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028192902
—
NE
Enumeration date
09/16/2022
Last updated
05/08/2026
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