Provider Demographics
NPI:1730813601
Name:EBERHARDT, DELANEY (LIMHP,MSW)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:
Last Name:EBERHARDT
Suffix:
Gender:F
Credentials:LIMHP,MSW
Other - Prefix:
Other - First Name:DELANEY
Other - Middle Name:
Other - Last Name:APPELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHP, PMSW, CSW
Mailing Address - Street 1:15440 R ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-4905
Mailing Address - Country:US
Mailing Address - Phone:402-760-1816
Mailing Address - Fax:
Practice Address - Street 1:15440 R ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-4905
Practice Address - Country:US
Practice Address - Phone:402-760-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3166101YM0800X
NE12582101YM0800X, 104100000X
NE2754104100000X
NE7615104100000X
2754104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker