Provider Demographics
NPI:1194880138
Name:DEWEY, BARBARA LYNN (LIMHP & CMSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LYNN
Last Name:DEWEY
Suffix:
Gender:F
Credentials:LIMHP & CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S 70TH ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3688
Mailing Address - Country:US
Mailing Address - Phone:402-525-9825
Mailing Address - Fax:402-477-8284
Practice Address - Street 1:2900 S 70TH ST
Practice Address - Street 2:SUITE 160
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-3688
Practice Address - Country:US
Practice Address - Phone:402-525-9825
Practice Address - Fax:402-477-8284
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE83020OtherBLUE CROSS BLUE SHIELD
NE254773OtherMIDLANDS CHOICE
NE10025346000Medicaid
NE785665000OtherMAGELLAN PROVIDER NUMBER
NE10025346000Medicaid