Individual
ANNA ELIZABETH JESERITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, CMSW, LISW
Contact information
Practice address
5755 SORENSEN PKWY, OMAHA, NE 68152-2370
(402) 991-8435
Mailing address
5755 SORENSEN PKWY, OMAHA, NE 68152-2370
(402) 991-8435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1937
NE
101YM0800X
Mental Health Counselor
9489
NE
104100000X
Social Worker
007822
IA
104100000X
Social Worker
1643
NE
104100000X
Social Worker
2597
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007822
STATE OF IOWA - LISW
IA
01
—
1643
STATE OF NEBRASKA - CMSW
NE
01
—
1937
STATE OF NEBRASKA - LIMHP
NE
Enumeration date
08/24/2011
Last updated
03/01/2021
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