Provider Demographics
NPI:1033289160
Name:PARDE BEHRENS, GLENDA (LCSW LMHP)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:
Last Name:PARDE BEHRENS
Suffix:
Gender:F
Credentials:LCSW LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18721 S 96TH
Mailing Address - Street 2:
Mailing Address - City:HICKMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68372
Mailing Address - Country:US
Mailing Address - Phone:402-792-2355
Mailing Address - Fax:
Practice Address - Street 1:729 SEWARD STREET
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68310
Practice Address - Country:US
Practice Address - Phone:402-643-3343
Practice Address - Fax:402-643-4048
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1049101YM0800X
NE7181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470528515-00Medicaid
NE470528515-04Medicaid
NE470528515-10Medicaid
NE94015OtherBCBS AOL
NE10025208600Medicaid
NE470528515-05Medicaid
NE470528515-14Medicaid
NE470528515-06Medicaid
NE470528515-03Medicaid
NE82095OtherBCBS
NE24643OtherMIDLANDS CHOICE
NE470528515-01Medicaid
NE470528515-17Medicaid
NE470528515-08Medicaid
NE10025207900Medicaid
NE470528515-07Medicaid
NE470528515-13Medicaid
NE470528515-81Medicaid
NE470528515-13Medicaid
NE470528515-01Medicaid