Provider Demographics
NPI:1790586337
Name:CORDERO, RITA JASMINE
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:JASMINE
Last Name:CORDERO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 6TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-6469
Mailing Address - Country:US
Mailing Address - Phone:402-910-1315
Mailing Address - Fax:
Practice Address - Street 1:2809 6TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-6469
Practice Address - Country:US
Practice Address - Phone:402-910-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical