Provider Demographics
NPI:1962641571
Name:PEKNY, KRYNN (LMHP, CMSW)
Entity Type:Individual
Prefix:
First Name:KRYNN
Middle Name:
Last Name:PEKNY
Suffix:
Gender:F
Credentials:LMHP, CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3483 LARIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2383
Mailing Address - Country:US
Mailing Address - Phone:402-455-8303
Mailing Address - Fax:402-455-7050
Practice Address - Street 1:3483 LARIMORE AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2383
Practice Address - Country:US
Practice Address - Phone:402-455-8303
Practice Address - Fax:402-455-7050
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3475101YM0800X
NE1309104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker