Provider Demographics
NPI:1215154877
Name:SARTON MIERAU, BONNIE JEAN (LICSW)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:JEAN
Last Name:SARTON MIERAU
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9007 F ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1305
Mailing Address - Country:US
Mailing Address - Phone:402-991-7621
Mailing Address - Fax:402-991-7631
Practice Address - Street 1:9007 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1305
Practice Address - Country:US
Practice Address - Phone:402-991-7621
Practice Address - Fax:402-991-7631
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24411041C0700X
NE5351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical