Individual
MS. FADUMO A HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LIMHP, LICSW
Contact information
Practice address
2566 SAINT MARYS AVE, OMAHA, NE 68105-1655
(402) 397-5809
(402) 397-5811
Mailing address
2566 SAINT MARYS AVE, OMAHA, NE 68105-1655
(402) 397-5809
(402) 397-5811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2621
NE
1041C0700X
Clinical Social Worker
Primary
13451
NE
1041C0700X
Clinical Social Worker
4382
NE
1041C0700X
Clinical Social Worker
7896
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028192901
—
NE
05
—
10028363100
—
NE
Enumeration date
06/16/2021
Last updated
03/16/2026
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