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Individual

NOELLE C PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LIMHP

Contact information

Practice address
20324 VETERANS DR STE 104, ELKHORN, NE 68022-3552
(402) 933-5700
(402) 933-9998
Mailing address
20324 VETERANS DR STE 104, ELKHORN, NE 68022-3552
(402) 933-5700
(402) 829-8513

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1856
SD
1041C0700X
Clinical Social Worker
Primary
2115
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100028290800
NE
01
1810
LICSW
NE
01
1856
LICENSE
01
2115
LIMHP
NE
Enumeration date
11/08/2006
Last updated
10/28/2025
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