Provider Demographics
NPI:1528469657
Name:SCHWEITZER, DEREK ROYCE (LCSW, LIMHP)
Entity type:Individual
Prefix:MR
First Name:DEREK
Middle Name:ROYCE
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:LCSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3720 A AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-8169
Mailing Address - Country:US
Mailing Address - Phone:308-234-5644
Mailing Address - Fax:308-234-5652
Practice Address - Street 1:5308 PARKLANE DR STE 5
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8629
Practice Address - Country:US
Practice Address - Phone:308-251-2222
Practice Address - Fax:308-251-2232
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE103451041C0700X
NE6944104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker