Provider Demographics
NPI:1265597934
Name:STEFFEN, TORY J (MSW, PLMHP)
Entity type:Individual
Prefix:MRS
First Name:TORY
Middle Name:J
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:MSW, PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 PROSPECT DR
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-2257
Mailing Address - Country:US
Mailing Address - Phone:402-426-8264
Mailing Address - Fax:
Practice Address - Street 1:5002 DODGE ST STE 207
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2906
Practice Address - Country:US
Practice Address - Phone:402-672-3081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6318, 71131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025443800Medicaid