Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 2039 | NE |
N | 101YP2500X | Professional Counselor | 5105 | NE |
Y | 1041C0700X | Clinical Social Worker | 1750 | NE |
NPI | 1003113028 |
---|---|
Provider Name | Mrs. Ryana Kay Swift |
First Address | Lincoln, NE 68506-1113 |
Second Address | Lincoln, NE 68506-1113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2011 |
Last Update Date | 11/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1750 | MASTER SOCIAL WORKER (01) | NE |
2039 | INDEPENDENT MENTAL HEALTH PRACTITIONER (01) | NE |
5105 | MENTAL HEALTH PRACTITIONER (01) | NE |