Provider Demographics
NPI:1942362132
Name:CODDINGTON ROMINE, NANCY B (LSCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:CODDINGTON ROMINE
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:B
Other - Last Name:SCHEUERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW
Mailing Address - Street 1:2171 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-5436
Mailing Address - Country:US
Mailing Address - Phone:620-342-2577
Mailing Address - Fax:620-343-9517
Practice Address - Street 1:2171 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-5436
Practice Address - Country:US
Practice Address - Phone:620-343-2296
Practice Address - Fax:620-343-9517
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
24518026OtherBCBSKC
KS069740OtherBCBS
85574Medicare UPIN
069760Medicare ID - Type Unspecified