Healthcare Provider Details

I. General information

NPI: 1912819442
Provider Name (Legal Business Name): RACHEL DENAE RITTON LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13304 W CENTER RD STE 110
OMAHA NE
68144-3456
US

IV. Provider business mailing address

2717 N 100TH AVE
OMAHA NE
68134-5509
US

V. Phone/Fax

Practice location:
  • Phone: 402-881-0448
  • Fax:
Mailing address:
  • Phone: 402-210-5669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3397
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: