Provider Demographics
NPI:1942325022
Name:ARENS, KATHY LYNN (PMHP, PMSW)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:LYNN
Last Name:ARENS
Suffix:
Gender:F
Credentials:PMHP, PMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50696 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NE
Mailing Address - Zip Code:68735-5358
Mailing Address - Country:US
Mailing Address - Phone:402-626-7992
Mailing Address - Fax:
Practice Address - Street 1:1500 KOENIGSTEIN AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3664
Practice Address - Country:US
Practice Address - Phone:402-644-7533
Practice Address - Fax:402-644-7510
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6801101YM0800X
NE6268104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47079687531Medicaid