Provider Demographics
NPI:1972972131
Name:GEORGE, JERI R (LIMHP, CMSW)
Entity Type:Individual
Prefix:
First Name:JERI
Middle Name:R
Last Name:GEORGE
Suffix:
Gender:F
Credentials:LIMHP, CMSW
Other - Prefix:
Other - First Name:JERI
Other - Middle Name:R
Other - Last Name:SCHELKOPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLMHP, PCMSW
Mailing Address - Street 1:1900 F STREET
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NE
Mailing Address - Zip Code:68361
Mailing Address - Country:US
Mailing Address - Phone:402-759-3192
Mailing Address - Fax:402-460-5829
Practice Address - Street 1:1900 F STREET
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NE
Practice Address - Zip Code:68361
Practice Address - Country:US
Practice Address - Phone:402-759-3192
Practice Address - Fax:402-460-5829
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELIMHP1963101YM0800X
NECMSW17231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health