Provider Demographics
NPI:1952691842
Name:MENTE, CHRISTA CHAPMAN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTA
Middle Name:CHAPMAN
Last Name:MENTE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 BROOKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-4300
Mailing Address - Country:US
Mailing Address - Phone:978-578-6815
Mailing Address - Fax:
Practice Address - Street 1:6705 BROOKRIDGE DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-4300
Practice Address - Country:US
Practice Address - Phone:978-578-6815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD290841041C0700X
MA1161031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical