Provider Demographics
NPI:1689144958
Name:RIDGWAY, CINDY R (LMHP 820)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:R
Last Name:RIDGWAY
Suffix:
Gender:F
Credentials:LMHP 820
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:RIDGWAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHP 820
Mailing Address - Street 1:1941 S 42ND ST STE 328
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2943
Mailing Address - Country:US
Mailing Address - Phone:402-614-8444
Mailing Address - Fax:402-614-8443
Practice Address - Street 1:1941 S 42ND ST STE 328
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2943
Practice Address - Country:US
Practice Address - Phone:402-614-8444
Practice Address - Fax:402-614-8443
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5531041C0700X
NE8201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty