NICOLE DERTZO
NPI 1306534383
Social Worker - Clinical in Omaha, NE

Active since April 27, 2023
4101 WOOLWORTH AVE, OMAHA, NE 68105(402) 250-7874 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Dertzo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DERTZO (NPI 1306534383) is an individual clinical provider in Omaha, Nebraska, licensed in Nebraska (1654) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1306534383
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE DERTZO
Location Address4101 WOOLWORTH AVEOmaha, NE 68105-1850
Mailing Address4101 Woolworth AveOmaha, NE 68105-1850 · (402) 250-7874
Sole ProprietorNo
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
NPI 1306534383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NE · 1654
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4101 WOOLWORTH AVE, Omaha, NE 68105

Other Names 1

Professional Name (2)Nicole Dertzo Lcsw, Lmhp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy Technician
4101 WOOLWORTH AVE
OMAHA, NE 68105
Registered Nurse (Infusion Therapy)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Registered Nurse (Critical Care Medicine)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Dietitian, Registered
4101 WOOLWORTH AVE
OMAHA, NE 68105
Psychologist
4101 WOOLWORTH AVE, MAIL CODE 116A1
OMAHA, NE 68105
Social Worker (Clinical)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Physician Assistant
4101 WOOLWORTH AVE
OMAHA, NE 68105
Nurse Practitioner (Adult Health)
4101 WOOLWORTH AVE
OMAHA, NE 68105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Dertzo's NPI number?

The NPI number for Nicole Dertzo is 1306534383. It was assigned to this individual provider in the NPPES registry on April 27, 2023. The provider is also known as Nicole Dertzo Lcsw, Lmhp.

Where is Nicole Dertzo located?

Nicole Dertzo practices at 4101 Woolworth Ave, Omaha, NE 68105. The listed phone number is (402) 250-7874.

What is Nicole Dertzo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nicole Dertzo was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.