Provider Demographics
NPI:1548395163
Name:SCHROEDER, RAMONA J (LCSW)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:J
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-4244
Mailing Address - Country:US
Mailing Address - Phone:308-234-4123
Mailing Address - Fax:308-234-4123
Practice Address - Street 1:2611 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-4244
Practice Address - Country:US
Practice Address - Phone:308-234-4123
Practice Address - Fax:308-234-4123
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE875101YM0800X
NE4451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE91179360126Medicaid
NE91179360126Medicaid