Provider Demographics
NPI:1871883512
Name:KREIFELS, PATRICK L (LCMSW)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:L
Last Name:KREIFELS
Suffix:
Gender:M
Credentials:LCMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7615 NASHWAY RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3397
Mailing Address - Country:US
Mailing Address - Phone:402-440-1764
Mailing Address - Fax:
Practice Address - Street 1:7615 NASHWAY RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3397
Practice Address - Country:US
Practice Address - Phone:402-440-1764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4463101YM0800X
NE15491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE96045OtherBCBS
NE96045OtherBCBS