Provider Demographics
NPI:1982284923
Name:BRIAN SCHNIEDER
Entity type:Organization
Organization Name:BRIAN SCHNIEDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZATION OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHNIEDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:402-850-0054
Mailing Address - Street 1:8998 L ST STE 109
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1400
Mailing Address - Country:US
Mailing Address - Phone:402-850-0054
Mailing Address - Fax:
Practice Address - Street 1:8998 L ST STE 109
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1400
Practice Address - Country:US
Practice Address - Phone:402-850-0054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty