Healthcare Provider Details

I. General information

NPI: 1851010375
Provider Name (Legal Business Name): RACHEL BECKMAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 09/14/2023
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2444 O ST
LINCOLN NE
68510-1125
US

IV. Provider business mailing address

2444 O ST
LINCOLN NE
68510-1125
US

V. Phone/Fax

Practice location:
  • Phone: 402-475-7666
  • Fax: 402-476-9623
Mailing address:
  • Phone: 402-475-7666
  • Fax: 402-476-9623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7792
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13194
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: