Active NPI
Rebecca Ann Ives, MSW
- Clinical Social Worker
- Lincoln, NE
National Provider Identifier
1467507962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3467
- Practice address
- 5000 Central Park Dr
Lincoln, NE 68504-3465 - Phone
- (402) 817-0323
- Fax
- (402) 464-8866
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3467 | NE | Primary |
| Social Worker | 104100000X | 6593 | NE |
Addresses
Primary practice location
5000 Central Park Dr
Lincoln, NE 68504-3465
Mailing address
5000 Central Park Dr
Lincoln, NE 68504-3465
Phone (402) 817-0323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3467 | NE | MD | Mental Health Counselor |
| 6593 | NE | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1467507962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CENTRAL PARK DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685043465",
"telephone_number": "402-817-0323",
"fax_number": "402-464-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CENTRAL PARK DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685043465",
"telephone_number": "402-817-0323",
"fax_number": "402-464-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVES",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "3467",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "6593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.