Provider Demographics
NPI:1639309610
Name:RUPE, CHRISTY LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LEE
Last Name:RUPE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LEE
Other - Last Name:STRAWDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 94949
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68509-4949
Mailing Address - Country:US
Mailing Address - Phone:402-479-5156
Mailing Address - Fax:402-479-5175
Practice Address - Street 1:801 WEST PROSPECTOR PLACE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-4949
Practice Address - Country:US
Practice Address - Phone:402-479-5156
Practice Address - Fax:402-479-5175
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical