Provider Demographics
NPI:1790839850
Name:RIPPELMEYER, DONNA L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:RIPPELMEYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:L
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:20 OLD HIGHWAY 40
Mailing Address - Street 2:
Mailing Address - City:LOVELOCK
Mailing Address - State:NV
Mailing Address - Zip Code:89419-6401
Mailing Address - Country:US
Mailing Address - Phone:573-263-1003
Mailing Address - Fax:
Practice Address - Street 1:20 OLD HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:LOVELOCK
Practice Address - State:NV
Practice Address - Zip Code:89419-6401
Practice Address - Country:US
Practice Address - Phone:573-263-1003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW002721104100000X
NV5455-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker