Provider Demographics
NPI:1689755316
Name:CONNETT, RHONDA RENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:RENE
Last Name:CONNETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:RHONDA
Other - Middle Name:RENE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1617 NORMANDY CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1474
Mailing Address - Country:US
Mailing Address - Phone:402-420-1617
Mailing Address - Fax:402-420-1619
Practice Address - Street 1:1617 NORMANDY CT
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1474
Practice Address - Country:US
Practice Address - Phone:402-420-1617
Practice Address - Fax:402-420-1619
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1911 / 9051041C0700X
NE7161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE299121000OtherMAGELLAN MIS
NE100254261000Medicaid
NE275861Medicare ID - Type Unspecified
NE299121000OtherMAGELLAN MIS