Doctor Name: | REBECCA LYNN NIEHAUS |
NPI Number: | 1174794549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 06690 |
Business Practice Address: | 8350 Hickman Rd Ste 14 Clive, IA - 503254311 |
Business Phone Number: | 5152593211 |
Business Fax Number: | 5152766380 |
Mailing Address: | 1308 8th St Ste 5, WEST DES MOINES |
State: | IA |
Postal Code: | 502652649 |
Phone Number: | 5152593211 |
Fax Number: | 5152766380 |
NPI Enumeration Date: | 03/13/2008 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 06690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |