Provider Demographics
NPI:1699953661
Name:KAIPUST, JAMIE LYNN (MSW, LCSW, LIMHP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:KAIPUST
Suffix:
Gender:F
Credentials:MSW, LCSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6054 S 36TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-3826
Mailing Address - Country:US
Mailing Address - Phone:402-990-7362
Mailing Address - Fax:402-763-8915
Practice Address - Street 1:6054 S 36TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-3826
Practice Address - Country:US
Practice Address - Phone:402-990-7362
Practice Address - Fax:402-763-8915
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13351041C0700X
NE661101YM0800X
NE3573101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical