Provider Demographics
NPI:1982901831
Name:EPPLER, CONNIE KAY (MSW)
Entity type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:KAY
Last Name:EPPLER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 RANDOLPH ST
Mailing Address - Street 2:APT. 3
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3350
Mailing Address - Country:US
Mailing Address - Phone:402-475-2214
Mailing Address - Fax:
Practice Address - Street 1:3415 RANDOLPH ST
Practice Address - Street 2:APT. 3
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3350
Practice Address - Country:US
Practice Address - Phone:402-475-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health