Provider Demographics
NPI:1780716456
Name:SATHER, RUTH BROMERT (LCSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:BROMERT
Last Name:SATHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4626 TRAIL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-6217
Mailing Address - Country:US
Mailing Address - Phone:402-660-3374
Mailing Address - Fax:
Practice Address - Street 1:4626 TRAIL RIDGE RD
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-6217
Practice Address - Country:US
Practice Address - Phone:402-660-3374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1034104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10413OtherMIDLANDS CHOICE
NE115628000OtherMAGELLAN BEHAVIORAL HEALT
NE82355OtherBLUE CROSS BLUE SHIELD