Provider Demographics
NPI:1003113028
Name:SWIFT, RYANA KAY
Entity Type:Individual
Prefix:MRS
First Name:RYANA
Middle Name:KAY
Last Name:SWIFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 S 42ND ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1113
Mailing Address - Country:US
Mailing Address - Phone:402-802-2365
Mailing Address - Fax:
Practice Address - Street 1:1900 S 42ND ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1113
Practice Address - Country:US
Practice Address - Phone:402-802-2365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5105101YP2500X
NE2039101YM0800X
NE17501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE5105OtherMENTAL HEALTH PRACTITIONER
NE2039OtherINDEPENDENT MENTAL HEALTH PRACTITIONER
NE1750OtherMASTER SOCIAL WORKER