Provider Demographics
NPI:1386037901
Name:RUMBLEY ZEPEDA, NAOMI DEA (LMSW LPHA)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:DEA
Last Name:RUMBLEY ZEPEDA
Suffix:
Gender:F
Credentials:LMSW LPHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 18TH ST SW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-3303
Mailing Address - Country:US
Mailing Address - Phone:319-364-1953
Mailing Address - Fax:866-496-4073
Practice Address - Street 1:2515 18TH ST SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-3303
Practice Address - Country:US
Practice Address - Phone:319-364-1953
Practice Address - Fax:866-496-4073
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA035431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical