Provider Demographics
NPI:1104038090
Name:DENEUI, ANGELA ANN (LCSW, MPA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:ANN
Last Name:DENEUI
Suffix:
Gender:F
Credentials:LCSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 N WEBB
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803
Mailing Address - Country:US
Mailing Address - Phone:308-381-5876
Mailing Address - Fax:308-381-5879
Practice Address - Street 1:2121 N WEBB
Practice Address - Street 2:SUITE 300
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803
Practice Address - Country:US
Practice Address - Phone:308-381-5876
Practice Address - Fax:308-381-5879
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2865101YM0800X
NE11541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85357OtherBLUE CROSS BLUE SHIELD
NE10024977900Medicaid
NE85357OtherBLUE CROSS BLUE SHIELD