Provider Demographics
NPI:1811292709
Name:MIANULLI MEINDERS, REBECCA (LIMHP, LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MIANULLI MEINDERS
Suffix:
Gender:
Credentials:LIMHP, LCSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:MEINDERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LIMHP, LCSW
Mailing Address - Street 1:842 S 33RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3401
Mailing Address - Country:US
Mailing Address - Phone:402-641-9410
Mailing Address - Fax:
Practice Address - Street 1:842 S 33RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3401
Practice Address - Country:US
Practice Address - Phone:402-641-9410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1631101YM0800X
NE15291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health