Individual
ANDREA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14291
NE
101YM0800X
Mental Health Counselor
4658
NE
1041C0700X
Clinical Social Worker
Primary
2719
NE
1041C0700X
Clinical Social Worker
8163
NE
Other
Enumeration date
01/25/2025
Last updated
08/12/2026
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