Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Dertzo

Individual provider Clinical Social Worker · NPI 1306534383

Nicole Dertzo is a Clinical Social Worker in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2023.

Licensed in
NE
In the registry since
2023

Practice location Address checks out

4101 Woolworth Ave
Omaha, NE 68105-1850
Phone: (402) 250-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1654 (NE)

Record details

NPI number1306534383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address4101 Woolworth Ave, Omaha, NE 68105-1850

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