Provider Demographics
NPI:1417636978
Name:WEBB, NANCY RENAE (LMSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:RENAE
Last Name:WEBB
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3254 COURT ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-2813
Mailing Address - Country:US
Mailing Address - Phone:712-212-4032
Mailing Address - Fax:
Practice Address - Street 1:600 4TH ST STE 303
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1747
Practice Address - Country:US
Practice Address - Phone:712-222-1432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA11280151041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool