Provider Demographics
NPI:1487369914
Name:MESSERSMITH, HALLIE (LCSW , LMHP)
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:
Last Name:MESSERSMITH
Suffix:
Gender:F
Credentials:LCSW , LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:COZAD
Mailing Address - State:NE
Mailing Address - Zip Code:69130-1753
Mailing Address - Country:US
Mailing Address - Phone:308-737-3051
Mailing Address - Fax:
Practice Address - Street 1:301 NELSON ST.
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:NE
Practice Address - Zip Code:69130
Practice Address - Country:US
Practice Address - Phone:308-737-3051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2526101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty