Theresa Ann Yant-Warnke, LMSW

Individual provider Active NPI Clinical Social Worker · Phillips, NE

NPI 1780616367 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780616367
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LMSW2551 (KS)
Practice address
121 Riverview Dr
Phillips, NE 68865-1727
Phone
(308) 382-3660
Fax
(308) 389-5136
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LMSW2551KSMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LMSW2551 KS Yes

Addresses

Primary practice location

121 Riverview Dr
Phillips, NE 68865-1727

Mailing address

121 Riverview Dr
Phillips, NE 68865-1727
Phone (308) 382-3660

Other providers in Phillips, NE

All providers in Phillips, NE · Clinical Social Worker in Nebraska

Sources for this page

Verify at the official NPI Registry.