Provider Demographics
NPI:1073115762
Name:SCHREIBER, CINDY KAY (LICSW)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:KAY
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 S 142ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2855
Mailing Address - Country:US
Mailing Address - Phone:402-800-7276
Mailing Address - Fax:
Practice Address - Street 1:506 S 84TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4414
Practice Address - Country:US
Practice Address - Phone:402-217-4558
Practice Address - Fax:402-552-6773
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2301101YM0800X
NE16231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE2301OtherLICENSED INDEPENDENT MENTAL HEALTH PRACTITIONER