Provider Demographics
NPI:1205919727
Name:WEBER, RITA J (LPC LSW)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:J
Last Name:WEBER
Suffix:
Gender:F
Credentials:LPC LSW
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:J
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC LSW
Mailing Address - Street 1:705 E 41ST STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6047
Mailing Address - Country:US
Mailing Address - Phone:605-357-0139
Mailing Address - Fax:605-357-0190
Practice Address - Street 1:705 E 41ST STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6047
Practice Address - Country:US
Practice Address - Phone:605-357-0139
Practice Address - Fax:605-357-0190
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC861104100000X
SDLSW830104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker