Provider Demographics
NPI:1467507962
Name:IVES, REBECCA ANN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANN
Last Name:IVES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 CENTRAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3465
Mailing Address - Country:US
Mailing Address - Phone:402-817-0323
Mailing Address - Fax:402-464-8866
Practice Address - Street 1:5000 CENTRAL PARK DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3465
Practice Address - Country:US
Practice Address - Phone:402-817-0323
Practice Address - Fax:402-464-8866
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE34671041C0700X
NE6593104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker