Kimberly Ann Preletz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

749 Issued in WY

Practice address

13 Homac Road
Lander, WY 82520

Phone

(406) 925-2258

NPI assigned

Jan 6, 2009

Last updated

Nov 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1003052531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "ENCAMPMENT",
            "state": "WY",
            "postal_code": "823250471",
            "telephone_number": "307-321-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HOMAC ROAD",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "82520",
            "telephone_number": "406-925-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRELETZ",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "749",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "4567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven John Platz, PA-C
• Stacey Polson, MS, LPC, NBCC
• Popo Agie Women's Clinic, Inc
• Cheryl C Portwood, M.D.
• Julian Poush
• Donna K Prevett, M.A. CCC-SLP
• Michael W Pryor, M.D.
• Katherine Quayle, DPT
• Carol Lee Quillen, P.A.-C.
• Deirdre Danette Rainer, PH.D.

• Clinical Social Worker in Lander, WY
• Providers in Lander, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.